Organization Active NPI

Ponce Medical, PLLC

  • Internal Medicine Physician
  • Brownsville, TX
National Provider Identifier
1386092617
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q8124 Issued in TX
Legal business name
PONCE MEDICAL, PLLC
Practice address
2449 Boca Chica Blvd Ste a
Brownsville, TX 78521-2368
Phone
(956) 350-2973
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Alejandra Ponce, DONPI 1740549237
Title
Manager
Phone
(956) 350-2973

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Q8124 TX Primary

Addresses

Primary practice location

2449 Boca Chica Blvd Ste a
Brownsville, TX 78521-2368

Mailing address

2449 Boca Chica Blvd Ste a
Brownsville, TX 78521-2368
Phone (956) 350-2973

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160803000266 TX Part B Supplier - Clinic/Group Practice 3173817855 Receives reassigned benefits from 1 practitioner
Practice locations: Brownsville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2118796Ponce Medical2449 Boca Chica Blvd Ste a, Brownsville, TX 78521Certificate of waiverSep 13, 2026

National Provider Directory

National Provider Directory

Locations

2449 Boca Chica Blvd
Ste C
Brownsville, TX 78521
Phone (956) 350-2473

2449 Boca Chica Blvd
Ste A
Brownsville, TX 78521
Phone (956) 350-2973

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACGAD

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1386092617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 BOCA CHICA BLVD STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212368",
            "telephone_number": "956-350-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 BOCA CHICA BLVD STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212368",
            "telephone_number": "956-350-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "956-350-2973",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q8124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.