Healthcare Provider Details

I. General information

NPI: 1205127032
Provider Name (Legal Business Name): ADVANCED ENDOSCOPY CENTER PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2011
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

471 AVE. FERROCARRIL SUITE #17
PONCE PR
00717
US

IV. Provider business mailing address

471 AVE. FERROCARRIL SUITE 135
PONCE PR
00717
US

V. Phone/Fax

Practice location:
  • Phone: 787-843-1129
  • Fax: 787-848-7979
Mailing address:
  • Phone: 787-843-1129
  • Fax: 787-848-7979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number22
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code261QE0800X
TaxonomyEndoscopy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALVARO REYMUNDE
Title or Position: PRESIDENTE
Credential: MD
Phone: 787-259-8212