Ponce Medical School Foundation Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PONCE MEDICAL SCHOOL FOUNDATION INC

Practice address

396 Calle Dr. Luis F. Salas
Zona Ind. Reparada 2
Ponce, PR 00716-2347

Phone

(787) 840-2575

Fax

(787) 840-5231

NPI assigned

Mar 3, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anabelle Jorge

Title

Administrator

Phone

(787) 840-2575

Specialties & licenses 4

Addresses

Other names 1

• CSCO PONCE Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angel M. Gomez Rodriguez, M.D.

  • Psychiatry Physician
  • Coamo, PR
  • NPI 1639251119
  NPD (past)
• Karen Ruperto-Rivera, MD

  • General Practice Physician
  • Ponce, PR
  • NPI 1861409781
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1114225901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7004",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327004",
            "telephone_number": "787-840-2575",
            "fax_number": "787-840-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 CALLE DR. LUIS F. SALAS",
            "address_2": "ZONA IND. REPARADA 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162347",
            "telephone_number": "787-840-2575",
            "fax_number": "787-840-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE MEDICAL SCHOOL FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "JORGE",
        "authorized_official_first_name": "ANABELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-840-2575"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSCO PONCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ponce Hematology Oncology P.S.C.
• Ponce Hyperbaric and Wound Care,CP
• Ponce Medical Ambulance Inc
• Ponce Medical Imaging
• Ponce Medical School Foundation Inc
• Ponce Medical School Foundation, Inc.
• Ponce Neurological Consultants Inc.
• Ponce Nuclear Medicine, P.S.C.
• Ponce Optics Care
• Ponce Optics Care, Inc

• Psychiatry Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.