Individual provider Active NPI

Gregorio Enrique Terc, MD

  • Cardiovascular Disease Physician
  • Ponce, PR
National Provider Identifier
1164497822
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5136 Issued in PR
Practice address
Caribe Building
2053 Ponce by Pass, Suite 202
Ponce, PR 00717-1308
Phone
(787) 709-3940
Fax
(787) 651-6717
NPI assigned
Feb 17, 2006
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5136 PR Primary

Addresses

Primary practice location

Caribe Building
2053 Ponce by Pass, Suite 202
Ponce, PR 00717-1308

Mailing address

PO Box 10670
2340 Ave Eduardo Ruberte
Ponce, PR 00732-0670
Phone (787) 709-3940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070404000100 PR Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0446354211 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5136PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiodynamics Cardiovascular Disease Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1164497822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10670",
            "address_2": "2340 AVE EDUARDO RUBERTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007320670",
            "telephone_number": "787-709-3940",
            "fax_number": "787-651-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARIBE BUILDING",
            "address_2": "2053 PONCE BY PASS, SUITE 202",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171308",
            "telephone_number": "787-709-3940",
            "fax_number": "787-651-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERC",
        "first_name": "GREGORIO",
        "middle_name": "ENRIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "5136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.