NPIMap

Organization Active NPI

Ponce Medical School Foundation

  • Psychiatry Physician
  • Aguadilla, PR
National Provider Identifier
1669486643
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PONCE MEDICAL SCHOOL FOUNDATION
Practice address
15 Ave Severiano Cuevas
Aguadilla, PR 00603-5743
Phone
(787) 891-2540
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Hector Burgos, MBA
Title
Operations Manager
Phone
(787) 840-2575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

15 Ave Severiano Cuevas
Aguadilla, PR 00603-5743

Mailing address

PO Box 7004
Ponce, PR 00732-7004
Phone (787) 840-2575

Other names 1

  • CENTRO DE SALUD CONDUCTUAL AGUADILLA Other name

National Provider Directory

National Provider Directory
Tax ID family
Centro de Salud Conductual10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

15 Ave Severiano Cuevas
Aguadilla, PR 00603
Phone (787) 891-2540

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1669486643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7004",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327004",
            "telephone_number": "787-840-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 AVE SEVERIANO CUEVAS",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035743",
            "telephone_number": "787-891-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE MEDICAL SCHOOL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "BURGOS",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "787-840-2575",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO DE SALUD CONDUCTUAL AGUADILLA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.