NPIMap

Organization Active NPI

Pamg Independent Practice Network Corp.

  • Preferred Provider Organization
  • Ponce, PR
National Provider Identifier
1124252101
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
PAMG INDEPENDENT PRACTICE NETWORK CORP.
Practice address
1266 Ave. Hostos Esq. Power
Ponce, PR 00731
Phone
(787) 813-2324
Fax
(787) 841-3908
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Dr. Carlos Alberto Gonzalez Berdecia, M.D.
Title
President
Phone
(787) 813-2324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

1266 Ave. Hostos Esq. Power
Ponce, PR 00731

Mailing address

PMB 282 1575 Munoz Rivera Ave.
Ponce, PR 00717
Phone (787) 813-2324

National Provider Directory

National Provider Directory
Tax ID family
Pamg Independent Practice Network Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1124252101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 282 1575 MUNOZ RIVERA AVE.",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-813-2324",
            "fax_number": "787-841-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 AVE. HOSTOS ESQ. POWER",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-813-2324",
            "fax_number": "787-841-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMG INDEPENDENT PRACTICE NETWORK CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ BERDECIA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-813-2324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.