Ponce de Leon Medical Diagnostic

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

PONCE DE LEON MEDICAL DIAGNOSTIC

Practice address

Calle Bromelia 8 Parque de Bucarest
Guaynabo, PR 00969-0000

Phone

(787) 753-4648

NPI assigned

Jul 26, 2011

Last updated

Jul 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roberto Rodriguez

Title

Doctor

Phone

(787) 753-4648

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1659659654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 TENIENTE CESAR GONZALEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009180000",
            "telephone_number": "787-753-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BROMELIA 8 PARQUE DE BUCAREST",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009690000",
            "telephone_number": "787-753-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE DE LEON MEDICAL DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-753-4648",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel R Pogozelski, FNP-BC
• Clara Polanco Torres
• Juliana Pollock
• Abraham Pomales Mojica, 0179B
• Pedro Ponce Cirilo, 0285B
• Ponce Neuroradiological Services, PSC
• Javier Antonio Portela, MD
• Carlos Posadas
• Carlos Roberto Pou, M.D.
• Marlen J Pou

• Physiological Laboratory in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Physiological Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.