NPIMap

Organization Active NPI

Ponce School of Medicine

  • Psychiatry Physician
  • Orocovis, PR
National Provider Identifier
1144234147
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PONCE SCHOOL OF MEDICINE
Practice address
Ave. Hospital # 15
Orocovis, PR 00720
Phone
(787) 840-2575
Fax
(787) 840-8391
NPI assigned
Jul 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hector Burgos, MBA
Title
Operations Manager
Phone
(787) 840-2575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

Ave. Hospital # 15
Orocovis, PR 00720

Mailing address

PO Box 7004
Ponce, PR 00732-7004
Phone (787) 840-2575

Other names 1

  • CENTRO DE SALUD CONDUCTUAL OROCOVIS Other name

National Provider Directory

National Provider Directory
Tax ID family
Centro de Salud Conductual10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144234147",
    "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": "787-840-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. HOSPITAL # 15",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "00720",
            "telephone_number": "787-840-2575",
            "fax_number": "787-840-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE SCHOOL OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURGOS",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "787-840-2575",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO DE SALUD CONDUCTUAL OROCOVIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orocovis, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.