Active NPI
Ponce Neurological Consultants Inc.
- Neurology Physician
- Ponce, PR
National Provider Identifier
1912214040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 16476
- Legal business name
- PONCE NEUROLOGICAL CONSULTANTS INC.
- Practice address
- 909 Ave Tito Castro
Suite 804
Ponce, PR 00716-4725 - Phone
- (787) 648-8115
- Fax
- (787) 651-1498
- NPI assigned
- Sep 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ricardo Villalobos, M.D.
- Title
- President
- Phone
- (787) 648-8115
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 16476 | PR | Primary |
Addresses
Primary practice location
909 Ave Tito Castro
Suite 804
Ponce, PR 00716-4725
Mailing address
909 Ave Tito Castro
Suite 804
Ponce, PR 00716-4725
Phone (787) 648-8115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195703 | Other | PR | DEPARTAMENTO DE ESTADO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Kissimmee, FL
- NPI 1073719084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284076800000",
"number": "1912214040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 AVE TITO CASTRO",
"address_2": "SUITE 804",
"city": "PONCE",
"state": "PR",
"postal_code": "007164725",
"telephone_number": "787-648-8115",
"fax_number": "787-651-1498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 AVE TITO CASTRO",
"address_2": "SUITE 804",
"city": "PONCE",
"state": "PR",
"postal_code": "007164725",
"telephone_number": "787-648-8115",
"fax_number": "787-651-1498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PONCE NEUROLOGICAL CONSULTANTS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-10",
"last_updated": "2010-09-10",
"status": "A",
"authorized_official_last_name": "VILLALOBOS",
"authorized_official_first_name": "RICARDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-648-8115",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "16476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTAMENTO DE ESTADO",
"identifier": "195703",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.