Organization Active NPI

Ponce Neurological Consultants Inc.

  • Neurology Physician
  • Ponce, PR
National Provider Identifier
1912214040
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
16476 Issued in PR
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

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Ricardo Villalobos, M.D.NPI 1073719084
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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
195703OtherPRDEPARTAMENTO DE ESTADO

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.