Organization
PONCE ADVANCE MEDICAL GROUP NETWORK, CORP.
Active
Organization
PONCE ADVANCE MEDICAL GROUP NETWORK, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS M IRIZARRY PABON MD (PRESIDENT)
(787) 813-2325
Entity
Organization
Contact information
Practice address
PMB 282, 1575 MUNOZ RIVERA AVE., PONCE, PR 00717
(787) 813-2325
(787) 841-3908
Mailing address
1266 AVE HOSTOS, ESQUINA POWER, PONCE, PR 00717-0947
(787) 813-2325
(787) 841-3908
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up