Individual provider Active NPI

Maria Teresa Pongibove, MD

  • Family Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1285305524
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24034 Issued in PR
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital, Inc. CurrentSince Oct 6, 2024 Accepting new patients
Servicios Quirurgicos del Caribe, P.S.C CurrentSince Jul 7, 2026 Accepting new patients
Bella Vista Hopital PastSince Jul 16, 2023 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.

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

Sources for this page

Verify at the official NPI Registry.