PONCE SCHOOL OF MEDICINE PRACTICE GROUP NPI 1760583504

NPI Information

NPI: 1760583504
Provider Name: PONCE SCHOOL OF MEDICINE PRACTICE GROUP

Former Legal Business Name: PSM PRACTICE GROUP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
ANN D PEREZ MARSHAND ST LOTE 2
URB INDUSTRIAL REPARADA
PONCE, PR
ZIP 00732
Phone: (787) 840-0052
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PONCE SCHOOL OF MEDICINE PRACTICE GROUP is a multi-specialty clinic center in Ponce, PR. PONCE SCHOOL OF MEDICINE PRACTICE GROUP NPI is 1760583504. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Psm Practice Group.

The provider's business location address is:

ANN D PEREZ MARSHAND ST LOTE 2
URB INDUSTRIAL REPARADA
PONCE, PR
ZIP 00732-004
Phone: (787) 840-0052
Fax: (787) 284-3619

The provider's authorized official is Hector Burgos .
The authorized official title is Administrator and has the following contact phone number (787) 614-2972.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 8/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	4650E	PUERTO RICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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