Paolo Rene Banuchi Ponce, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

24517 Issued in PR

Practice address

Hospital de la Concepcion
PR-2 KM 173,
San German, PR 00683

Phone

(787) 428-6250

NPI assigned

Dec 5, 2023

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 24, 2025.

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1508633058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 464",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620464",
            "telephone_number": "787-428-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL DE LA CONCEPCION",
            "address_2": "PR-2 KM 173,",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-428-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANUCHI PONCE",
        "first_name": "PAOLO",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-05",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Antonio Ayala Torres Jr., M.D.
• Ayala Troche, MD, C.S.P.
• Jose Manuel Ayala, MD
• Ivan Baez-Santos, PSYD
• Axel A Baez-Torres, MD
• Selma Basora, DMD
• Gustavo Enrique Bello Rojas, MD
• Dyleen Belmont
• David R Bermudez Nunez, MD
• Bettos Ambulance Services, Inc.

• All providers in San German, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.