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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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