Organization Active NPI

Ponce Gastroenterology Society

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1265468805
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7296 Issued in PR
Legal business name
PONCE GASTROENTEROLOGY SOCIETY
Practice address
Santa Maria Medical
450 C/Ferrocarril, Ste. 210
Ponce, PR 00717-1105
Phone
(787) 840-0100
Fax
(787) 841-6849
NPI assigned
Jun 24, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Luis Martinez-Sierra, MDNPI 1376673335
Title
President
Phone
(787) 840-5042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7296 PR Primary
Gastroenterology Physician 207RG0100X 4589 PR
Gastroenterology Physician 207RG0100X 6905 PR

Addresses

Primary practice location

Santa Maria Medical
450 C/Ferrocarril, Ste. 210
Ponce, PR 00717-1105

Mailing address

450 Ferrocarril
Sta. Maria Medical Ste. 210
Ponce, PR 00717-1105
Phone (787) 840-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060628000131 PR Part B Supplier - Clinic/Group Practice 7517979032 Receives reassigned benefits from 5 practitioners
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

450 Calle Ferrocarril
Ste 210
Ponce, PR 00717
Phone (787) 840-0100

Practitioners & affiliated clinicians

Practitioners 5

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": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1265468805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 FERROCARRIL",
            "address_2": "STA. MARIA MEDICAL STE. 210",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171105",
            "telephone_number": "787-840-0100",
            "fax_number": "787-841-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA MARIA MEDICAL",
            "address_2": "450 C/FERROCARRIL, STE. 210",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171105",
            "telephone_number": "787-840-0100",
            "fax_number": "787-841-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE GASTROENTEROLOGY SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-SIERRA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-840-5042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "7296",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "4589",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "6905",
            "primary": false
        }
    ],
    "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 Sep 11, 2025; 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.