Ponce School of Medicine Practice Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

4650E Issued in PR

Legal business name

PONCE SCHOOL OF MEDICINE PRACTICE GROUP

Practice address

Ann D Perez Marshand St Lote 2
Urb Industrial Reparada
Ponce, PR 00732-7004

Phone

(787) 840-0052

Fax

(787) 284-3619

NPI assigned

Sep 26, 2006

Last updated

Aug 28, 2008By 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

Hector Burgos

Title

Administrator

Phone

(787) 614-2972

Specialties & licenses 1

Addresses

Other names 1

• PSM Practice Group Former legal business name

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1760583504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7004",
            "address_2": "PONCE SCHOOL OF MEDICINE PRACTICE GROUP",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327004",
            "telephone_number": "787-840-0052",
            "fax_number": "787-840-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANN D PEREZ MARSHAND ST LOTE 2",
            "address_2": "URB INDUSTRIAL REPARADA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327004",
            "telephone_number": "787-840-0052",
            "fax_number": "787-284-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE SCHOOL OF MEDICINE PRACTICE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "BURGOS",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-614-2972"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PR",
            "license": "4650E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSM Practice Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ponce Paramedical College, Inc. (Villa Flores Dentral Group)
• Ponce Plastic Surgery and Pain Management Center Corp
• Ponce Pulmonary Group
• Ponce School of Medicine
• Ponce School of Medicine Caimed Center
• Iris Heidsha Pons Cruz, BCBA
• Norielys Pons Ruiz, BCBA
• Jose I Pons, PH.D.
• Lyan Marie Porrata, PHARMD
• Nestor Xavier Portalatin Luiggi, PSYD

• Multi-Specialty Clinic/Center in Ponce, PR
• Providers in Ponce, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.