Ponce Plastic Surgery and Pain Management Center Corp

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

38 Issued in PR

Legal business name

PONCE PLASTIC SURGERY AND PAIN MANAGEMENT CENTER CORP

Practice address

909 Ave Tito Castro Ste 805
909 Ave Tito Castro Suite #805
Ponce, PR 00716-4725

Phone

(787) 840-1114

Fax

(787) 842-6661

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Authorized official

Name

Roberto Perez, MD

Title

Presidente

Phone

(787) 840-1114

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1477913556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO STE 805",
            "address_2": "TORRE MEDICA SAN LUCAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164725",
            "telephone_number": "787-840-1114",
            "fax_number": "787-842-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO STE 805",
            "address_2": "909 AVE TITO CASTRO SUITE #805",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164725",
            "telephone_number": "787-840-1114",
            "fax_number": "787-842-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE PLASTIC SURGERY AND PAIN MANAGEMENT CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-840-1114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PR",
            "license": "38",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ponce Orthopaedic Trauma Institute PSC
• Carola Ponce Ortiz
• Ponce Pain Doc., Inc.
• Ponce Pain Management, PSC
• Ponce Paramedical College, Inc.
• Ponce Pulmonary Group
• Ponce School of Medicine
• Ponce School of Medicine Caimed Center
• Ponce School of Medicine Practice Group
• Iris Heidsha Pons Cruz, BCBA

• Ambulatory Surgical Clinic/Center in Ponce, PR
• Providers in Ponce, PR by specialty
• Ambulatory Surgical Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.