Organization · Type 2 NPI
Ponce Advance Medical Group
Primary Care Clinic/Center · Ponce, PR
NPI number
1104049121
Active
Practice location
Calle Ferrocarril Int Ave Munoz Rivera, Centro Comercial Santa Maria Local 4
Ponce, PR 00717-4105
Mailing address
1575 Ave Munoz Rivera, Pmb 282,
Ponce, PR 00717-0211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| General Practice Physician | 208D00000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | 07-B-2318 (PR) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1104049121
Ponce Advance Medical Group's National Provider Identifier is 1104049121, issued on Apr 10, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Ponce, PR. The record was last updated on Aug 29, 2025.