PONCE ADVANCE MEDICAL GROUP
NPI 1063519122
Clinic/Center - Primary Care in Ponce, PUERTO RICO
NPI Status: Active since September 20, 2006
Contact Information
CALLE FERROCARRIL INT AVE MUNOZ RIVERA
CENTRO COMERCIAL SANTA MARIA LOCAL 4
PONCE, PUERTO RICO
ZIP 00717
Phone: (787) 651-4544
Fax: (787) 651-4544
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 40D2268096
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 05-18-2027
About PONCE ADVANCE MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Ponce Advance Medical Group, a primary care provider established in Ponce, operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1063519122 assigned on September 2006. The practitioner's primary taxonomy code is 261QP2300X with license number 07-B-2318 (PR). The provider is registered as an organization and their NPI record was last updated August 2025. The authorized official of this NPI record is Mr. Ricardo E Jimenez Rivera (Director Ejecutivo)
- NPI
- 1063519122
- Provider Name
- PONCE ADVANCE MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- CALLE FERROCARRIL INT AVE MUNOZ RIVERA CENTRO COMERCIAL SANTA MARIA LOCAL 4 PONCE, PUERTO RICO 00717
- Location Phone
- (787) 651-4544
- Location Fax
- (787) 651-4544
- Mailing Address
- PMB 282 1575 MUNOZ RIVERA AVE. PONCE, PUERTO RICO 00717
- Mailing Phone
- (787) 813-2324
- Mailing Fax
- (787) 651-4544
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-20-2006
- Last Update Date
- 08-08-2025
- Code Navigator
A primary care provider (PCP) like Ponce Advance Medical Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 07-B-2318
- License State
- PR
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 40D2268096
- Facility Type
- Independent
- Certificate Effective Date
- May 19, 2025
- Certificate Expiration Date
- May 18, 2027
- Laboratory Director
- MRS. MYRNALY SEPULVEDA- BACHIER
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Ponce Advance Medical Group after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 5 | 1 | 9 | 1 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 10 | 1 | 18 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 0 + 1 + 1 + 8 + 1 + 4 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1063519122 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104049121 | PONCE ADVANCE MEDICAL GROUP Organization | Clinic/Center (Primary Care) | CALLE FERROCARRIL INT AVE MUNOZ RIVERA CENTRO COMERCIAL SANTA MARIA LOCAL 4 PONCE, PR 00717 (787) 651-4544 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063519122, enumerated in the NPI registry as an "organization" on September 20, 2006
The provider is located at Calle Ferrocarril Int Ave Munoz Rivera Centro Comercial Santa Maria Local 4 Ponce, Puerto Rico 00717 and the phone number is (787) 651-4544
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider's CLIA number is 40D2268096 for a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on September 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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