Active NPI
Teresa Castro Ponce
- Neurology Physician
- Guaynabo, PR
National Provider Identifier
1245363399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 11779
- Practice address
- Maramar Plaza Suite 1140
Ave San Patricio 101
Guaynabo, PR 00968 - Phone
- (787) 774-0668
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 11779 | PR | Primary |
Addresses
Primary practice location
Maramar Plaza Suite 1140
Ave San Patricio 101
Guaynabo, PR 00968
Mailing address
Maramar Plaza Suite 1140
Ave San Patricio 101
Guaynabo, PR 00968
Phone (787) 774-0668
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101220000585 | PR | Practitioner - Neurology | 2961690888 | Practice locations: Guaynabo, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Puerto Rico School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 Ave San Patricio
Suite 1140
Guaynabo, PR 00968-3051
Phone (787) 774-0668
Maramar Plaza
1140 San Patricio Ave. 101
Guaynabo, PR 00968-3051
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11779 | PR | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1245363399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MARAMAR PLAZA SUITE 1140",
"address_2": "AVE SAN PATRICIO 101",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00968",
"telephone_number": "787-774-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARAMAR PLAZA SUITE 1140",
"address_2": "AVE SAN PATRICIO 101",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00968",
"telephone_number": "787-774-0668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO PONCE",
"first_name": "TERESA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "11779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.