Active NPI
Maria Teresa Pongibove, MD
- Family Medicine Physician
- Mayaguez, PR
National Provider Identifier
1285305524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24034
- Practice address
- 351 Ave Hostos Edificio Medical Emporium 1
Suite 110
Mayaguez, PR 00680-1502 - Phone
- (787) 834-7740
- Fax
- (787) 652-4525
- NPI assigned
- Sep 27, 2021
- Last updated
- Sep 8, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24034 | PR | Primary |
Addresses
Primary practice location
351 Ave Hostos Edificio Medical Emporium 1
Suite 110
Mayaguez, PR 00680-1502
Mailing address
351 Ave Hostos Edificio Medical Emporium 1,
Suite 110
Mayaguez, PR 00680
Phone (787) 834-7740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bella Vista Hospital, Inc. | Current | Accepting new patients | |
| Servicios Quirurgicos del Caribe, P.S.C | Current | Accepting new patients | |
| Bella Vista Hopital | Past | Accepting new patients |
Locations
351 Ave Hostos
Ste 110
Mayaguez, PR 00680
Phone (787) 805-2041
Organizations & group practices 3
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.
-
- Radiation Oncology Clinic/Center
- Mayaguez, PR
- NPI 1104064351
-
- Medical Specialty Clinic/Center
- Mayaguez, PR
- NPI 1255750204
-
dba Bella Vista Gastroenterology Group
- Gastroenterology Physician
- Mayaguez, PR
- NPI 1467996595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1285305524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 AVE HOSTOS EDIFICIO MEDICAL EMPORIUM 1,",
"address_2": "SUITE 110",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-834-7740",
"fax_number": "787-652-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 AVE HOSTOS EDIFICIO MEDICAL EMPORIUM 1",
"address_2": "SUITE 110",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006801502",
"telephone_number": "787-834-7740",
"fax_number": "787-652-4525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONGIBOVE",
"first_name": "MARIA",
"middle_name": "TERESA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-27",
"last_updated": "2026-09-08",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "24034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
- Policlinica Dr. Rijo C.S.P.
- Policlinica Familiar Shalom Inc (Servicios Preventivos de Salud de Mayaguez Puerto Rico)
- Carlos Juan Ponce de Leon, D.D.S.
- Ponce Medical School Foundation
- Ponce Medical School Foundation Inc. (Escuela de Medicina de Ponce)
- Andrea Nicole Pons
- Juliet V. Porch, MD
- Portal Inc. Farmacia Luciano
- Jesus Guillermo Portal, RPH.
- Post Center Clinical Laboratory
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.