Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ponce Advance Medical Group

Organization Family Medicine Physician · NPI 1104049121

Ponce Advance Medical Group is a Family Medicine Physician in Ponce, Puerto Rico. Licensed in Puerto Rico. Registered with an NPI since 2007.

Licensed in
PR
In the registry since
2007
Specialties on file
5
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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Calle Ferrocarril Int Ave Munoz Rivera Centro Comercial Santa Maria Local 4
Ponce, PR 00717-4105
Phone: (787) 651-4544

No coordinates on file. Search this address in Google Maps

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 07-B-2318 (PR)
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1104049121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Jimenez Rivera — Director Ejecutivo · (787) 651-4544
NPI enumeratedApril 10, 2007
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address1575 Ave Munoz Rivera, Pmb 282, Ponce, PR 00717-0211

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