Gloria Ponce Tua Medicina Interna CSP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13516 Issued in PR

Legal business name

GLORIA PONCE TUA MEDICINA INTERNA CSP

Practice address

Calle Dr Basora No 55N
Suite 204D
Mayaguez, PR 00680-4888

Phone

(787) 833-0685

Fax

(787) 265-2755

NPI assigned

Feb 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Gloria I Ponce Tua, M.D.

Title

Medico Internista

Phone

(787) 833-0685

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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

• Gloria I Ponce, MD

  • Internal Medicine Physician
  • Mayaquez, PR
  • NPI 1336189315
  Medicare reassignment NPD

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1184048175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE DR BASORA NO 55N",
            "address_2": "SUITE 204D",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804888",
            "telephone_number": "787-833-0685",
            "fax_number": "787-265-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DR BASORA NO 55N",
            "address_2": "SUITE 204D",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804888",
            "telephone_number": "787-833-0685",
            "fax_number": "787-265-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA PONCE TUA MEDICINA INTERNA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "PONCE TUA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICO INTERNISTA",
        "authorized_official_telephone_number": "787-833-0685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "13516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336189315",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Daneira Lee Gomez Sotomayor
• Christopher Gomez

• Internal Medicine Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.