Organization Active NPI

Carlos R Ponce MD PA

  • Gastroenterology Physician
  • Brownsville, TX
National Provider Identifier
1780850693
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M5886 Issued in TX
Legal business name
CARLOS R PONCE MD PA
Practice address
5700 N Expressway
Ste 303
Brownsville, TX 78526-4353
Phone
(956) 542-1531
Fax
(956) 542-0028
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Dr. Carlos R Ponce, MD
Title
President
Phone
(956) 542-1531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X M5886 TX Primary

Addresses

Primary practice location

5700 N Expressway
Ste 303
Brownsville, TX 78526-4353

Mailing address

5700 N Expressway
Ste 303
Brownsville, TX 78526-4353
Phone (956) 542-1531

Other identifiers 1

IdentifierTypeStateIssuer
195627801MedicaidTX

National Provider Directory

National Provider Directory

Locations

5700 N Expressway
Ste 303
Brownsville, TX 78526
Phone (956) 542-1531

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1780850693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N EXPRESSWAY",
            "address_2": "STE 303",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264353",
            "telephone_number": "956-542-1531",
            "fax_number": "956-542-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N EXPRESSWAY",
            "address_2": "STE 303",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264353",
            "telephone_number": "956-542-1531",
            "fax_number": "956-542-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS R PONCE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-542-1531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M5886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195627801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.