# PONCE GASTROENTEROLOGY SOCIETY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265468805
- **Authorized official:** DR. LUIS MARTINEZ-SIERRA MD (PRESIDENT)
- **Authorized official phone:** (787) 840-5042

## Contact information

- **Practice address:** SANTA MARIA MEDICAL, 450 C/FERROCARRIL, STE. 210, PONCE, PR 00717-1105
- **Practice address phone:** (787) 840-0100
- **Practice address fax:** (787) 841-6849
- **Mailing address:** 450 FERROCARRIL, STA. MARIA MEDICAL STE. 210, PONCE, PR 00717-1105
- **Mailing address phone:** (787) 840-0100
- **Mailing address fax:** (787) 841-6849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 7296 | PR | Yes |
| 207RG0100X | Gastroenterology Physician | 4589 | PR | — |
| 207RG0100X | Gastroenterology Physician | 6905 | PR | — |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 09/11/2025