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PONCE ADVANCE MEDICAL GROUP
NPI 1063519122
Clinic/Center - Primary Care in Ponce, PUERTO RICO

Active since September 20, 2006CLIA 40D2268096 · Certificate of Compliance
CALLE FERROCARRIL INT AVE MUNOZ RIVERA, CENTRO COMERCIAL SANTA MARIA LOCAL 4, PONCE, PUERTO RICO 00717(787) 651-4544(787) 651-4544 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ponce Advance Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PONCE ADVANCE MEDICAL GROUP (NPI 1063519122) is a healthcare organization registered as a primary care in Ponce, PUERTO RICO and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 18, 2027 and lists Ricardo E Jimenez Rivera, Director Ejecutivo, as its authorized official.

NPPES Registry Identity

NPI1063519122
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePONCE ADVANCE MEDICAL GROUP
Location AddressCALLE FERROCARRIL INT AVE MUNOZ RIVERA, CENTRO COMERCIAL SANTA MARIA LOCAL 4Ponce, PUERTO RICO 00717
Mailing AddressPmb 282, 1575 Munoz Rivera Ave.Ponce, PUERTO RICO 00717 · (787) 813-2324 · Fax (787) 841-3908
Phone(787) 651-4544
Fax(787) 651-4544
Organization SubpartNo
Authorized OfficialRicardo E Jimenez RiveraDirector Ejecutivo · (787) 651-4544
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1063519122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in PR · 07-B-2318
CALLE FERROCARRIL INT AVE MUNOZ RIVERA, Ponce, PUERTO RICO 00717
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 40D2268096

Ponce Advanced Medical Group · Ponce, PR
Active · expires May 18, 2027
CLIA Number40D2268096
Laboratory TypeIndependent
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorMrs. Myrnaly Sepulveda- Bachier
Laboratory Phone(787) 813-2324
Laboratory LocationPonce Advanced Medical GroupCalle Ferrocarril Interseccion Ave Munoz Rivera Centro Comercial Santa Maria, Local Numero 4, Ponce, PR 00717
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PONCE ADVANCE MEDICAL GROUP
Clinic/Center (Primary Care)
CALLE FERROCARRIL INT AVE MUNOZ RIVERA, CENTRO COMERCIAL SANTA MARIA LOCAL 4
PONCE, PR 00717
Ponce Municipio (787) 651-4544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ponce Advance Medical Group's NPI number?

The NPI number for Ponce Advance Medical Group is 1063519122. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Ponce Advance Medical Group located?

Ponce Advance Medical Group is located at Calle Ferrocarril Int Ave Munoz Rivera Centro Comercial Santa Maria Local 4, Ponce, PUERTO RICO 00717. The listed phone number is (787) 651-4544.

What is Ponce Advance Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Ponce Advance Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 40D2268096) is associated with this NPI, valid through May 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ponce Advance Medical Group was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.