PONCE SCHOOL OF MEDICINE PRACTICE GROUP
NPI 1760583504
Clinic/Center - Multi-Specialty in Ponce, PR

NPI Status: Active since September 26, 2006

Contact Information

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

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About PONCE SCHOOL OF MEDICINE PRACTICE GROUP

This page provides the complete NPI Profile along with additional information for Ponce School Of Medicine Practice Group, a provider established in Ponce, Puerto Rico operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1760583504 assigned on September 2006. The practitioner's primary taxonomy code is 261QM1300X with license number 4650E (PR). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's former legal business name is Psm Practice Group. The authorized official of this NPI record is Hector Burgos (Administrator)

NPI
1760583504
Provider Legal Name
PONCE SCHOOL OF MEDICINE PRACTICE GROUP
Other Organization Name
PSM PRACTICE GROUP
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
ANN D PEREZ MARSHAND ST LOTE 2 URB INDUSTRIAL REPARADA PONCE, PR 00732
Location Phone
(787) 840-0052
Location Fax
(787) 284-3619
Mailing Address
PO BOX 7004 PONCE SCHOOL OF MEDICINE PRACTICE GROUP PONCE, PR 00732
Mailing Phone
(787) 840-0052
Mailing Fax
(787) 284-3619
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2006
Last Update Date
08-28-2008
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
4650E
License State
PR

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HECTOR BURGOS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(787) 614-2972

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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.
1760583504
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120108650
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 0 + 8 + 6 + 5 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1760583504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760583504, enumerated in the NPI registry as an "organization" on September 26, 2006

The provider is located at Ann D Perez Marshand St Lote 2 Urb Industrial Reparada Ponce, Pr 00732 and the phone number is (787) 840-0052

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

This NPI record was last updated on September 26, 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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