PONCE ADVANCE MEDICAL GROUP
NPI 1104049121
Clinic/Center - Primary Care in Ponce, PR

Active since April 10, 2007
CALLE FERROCARRIL INT AVE MUNOZ RIVERA, CENTRO COMERCIAL SANTA MARIA LOCAL 4, PONCE, PR 00717(787) 651-4544 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 1104049121) is a healthcare organization registered as a primary care in Ponce, Puerto Rico and active in the NPI registry since April 2007. The organization lists Ricardo E Jimenez Rivera, Director Ejecutivo, as its authorized official.

NPPES Registry Identity

NPI1104049121
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePONCE ADVANCE MEDICAL GROUP
Location AddressCALLE FERROCARRIL INT AVE MUNOZ RIVERA, CENTRO COMERCIAL SANTA MARIA LOCAL 4Ponce, PR 00717-4105
Mailing Address1575 Ave Munoz Rivera, Pmb 282,Ponce, PR 00717-0211 · (787) 813-2324 · Fax (787) 841-3908
Organization SubpartNo
Authorized OfficialRicardo E Jimenez RiveraDirector Ejecutivo · (787) 651-4544
Enumeration DateApril 10, 2007
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
NPI 1104049121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in PR · 07-B-2318
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedGeneral PracticeTaxonomy 208D00000X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
CALLE FERROCARRIL INT AVE MUNOZ RIVERA, CENTRO COMERCIAL SANTA MARIA LOCAL 4
PONCE, PUERTO RICO 00717

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 1104049121. It was assigned to this organization in the NPPES registry on April 10, 2007.

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, PR 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.

When was this NPI record last updated?

The NPPES record for Ponce Advance Medical Group was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.