Organization
PONCE ADVANCE MEDICAL GROUP
Active
Organization
PONCE ADVANCE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO E JIMENEZ RIVERA (DIRECTOR EJECUTIVO)
(787) 651-4544
Entity
Organization
Contact information
Practice address
CALLE FERROCARRIL INT AVE MUNOZ RIVERA, CENTRO COMERCIAL SANTA MARIA LOCAL 4, PONCE, PR 00717-4105
(787) 651-4544
Mailing address
1575 AVE MUNOZ RIVERA, PMB 282,, PONCE, PR 00717-0211
(787) 813-2324
(787) 841-3908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
07-B-2318
PR
Other
Enumeration date
04/10/2007
Last updated
08/29/2025
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