Organization Active NPI

Policlinica Las Americas Medical Center, Inc.

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1386613446
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
POLICLINICA LAS AMERICAS MEDICAL CENTER, INC.
Practice address
2015 Blvd Luis a Ferre Ste 101
Ponce, PR 00717-0798
Phone
(787) 842-8945
Fax
(787) 290-4472
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Dr. Victor S Reyes, M.D.
Title
President
Phone
(787) 842-8945

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

2015 Blvd Luis a Ferre Ste 101
Ponce, PR 00717-0798

Mailing address

PMB 281
Ave Munoz Rivera 1575
Ponce, PR 00717-0211
Phone (787) 842-8945

Other practice location 1

Urb. San Antonio 539
Ramal 2
Ponce, PR 00717
Phone (787) 842-8945

Other practice location 2

718 Calle Munoz Rivera
Penuelas, PR 00624-1722
Phone (787) 836-4520

Other practice location 3

74 Calle Comercio
Yauco, PR 00698-3542
Phone (787) 856-0844

Other practice location 4

1800 Carr 14 Ste 114
Coto Laurel, PR 00780-2163
Phone (787) 842-8945

Other identifiers 6

IdentifierTypeStateIssuer
1386613446OtherPRHUMANA HEALTH PLANS OF PUERTO RICO
1386613446OtherPRMSO OF PUERTO RICO LLC
1386613446OtherPRFIRST MEDICAL HEALTH PLAN, INC.
1386613446OtherPRTRIPLE S, SALUD
1386613446OtherPRMOLINA HEALTHCARE OF PUERTO RICO
1386613446OtherPRASOCIACION DE MAESTROS DE PR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051005000092 PR Part B Supplier - Clinic/Group Practice 2567497951 Receives reassigned benefits from 7 practitioners
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Tax ID family
Policlinica Las Americas Medical Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

718 Calle Munoz Rivera
Penuelas, PR 00624
Phone (787) 836-4520

Practitioners & affiliated clinicians

Practitioners 12

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1386613446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 281",
            "address_2": "AVE MUNOZ RIVERA 1575",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170211",
            "telephone_number": "787-842-8945",
            "fax_number": "787-290-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 BLVD LUIS A FERRE STE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170798",
            "telephone_number": "787-842-8945",
            "fax_number": "787-290-4472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urb. San Antonio 539",
            "address_2": "Ramal 2",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "00717",
            "country_code": "US",
            "telephone_number": "787-842-8945",
            "fax_number": "787-290-4472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 Calle Munoz Rivera",
            "address_purpose": "LOCATION",
            "city": "Penuelas",
            "state": "PR",
            "postal_code": "006241722",
            "country_code": "US",
            "telephone_number": "787-836-4520",
            "fax_number": "787-290-4472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74 Calle Comercio",
            "address_purpose": "LOCATION",
            "city": "Yauco",
            "state": "PR",
            "postal_code": "006983542",
            "country_code": "US",
            "telephone_number": "787-856-0844",
            "fax_number": "787-290-4472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Carr 14 Ste 114",
            "address_purpose": "LOCATION",
            "city": "Coto Laurel",
            "state": "PR",
            "postal_code": "007802163",
            "country_code": "US",
            "telephone_number": "787-842-8945",
            "fax_number": "787-290-4472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POLICLINICA LAS AMERICAS MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-842-8945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLANS OF PUERTO RICO",
            "identifier": "1386613446",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSO OF PUERTO RICO LLC",
            "identifier": "1386613446",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL HEALTH PLAN, INC.",
            "identifier": "1386613446",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S, SALUD",
            "identifier": "1386613446",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE OF PUERTO RICO",
            "identifier": "1386613446",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASOCIACION DE MAESTROS DE PR",
            "identifier": "1386613446",
            "state": "PR"
        }
    ],
    "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 Apr 14, 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.