MEDICARE: PONCE MEDICAL SCHOOL FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1902810989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PONCE MEDICAL SCHOOL FOUNDATION

Provider Business Mailing Address
First Line	:	PO BOX 7004
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00732-7004
Country	:	US
Telephone Number	:	787-840-2575
Fax Number	:	787-840-8391

Provider Business Practice Location Address
First Line	:	132 CALLE JOSE I QUINTON
Second Line	:
City	:	COAMO
State	:	PR
Zip	:	00769-3041
Country	:	US
Telephone Number	:	787-803-2106
Fax Number	:	787-803-5797

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	MR. HECTOR BURGOS
Credential	:
Telephone Number	:	787-840-2575

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	08/08/2007

Similar Medicare Providers

1003383399 — DEILY SANTIAGO SUAREZ
Practice Location Address:

132 CALLE JOSE I QUINTON
COAMO, PR
00769-3041

Practice Phone: 787-901-0381
Practice Fax:

1992773147 — DR. FELIX M. CARATINI SOTO MD
Practice Location Address:

134 CALLE JOSE I QUINTON
COAMO, PR
00769-3041

Practice Phone: 787-825-9144
Practice Fax: 787-825-9144

1548411531 — PONCE MEDICAL SCHOOL FOUNDATION INC.
Practice Location Address:

132 CALLE JOSE I QUINTON
COAMO, PR
00769-3041

Practice Phone: 787-803-2110
Practice Fax: 787-803-2106

1528887478 — KATHERINE CABAN CRUZ
Practice Location Address:

132 CALLE JOSE I QUINTON
COAMO, PR
00769-3041

Practice Phone: 787-232-7860
Practice Fax:

1952087876 — ENDO AFC LLC
Practice Location Address:

13 CALLE BALDORIOTY
COAMO, PR
00769-2497

Practice Phone: 787-558-0106
Practice Fax: 207-776-7583

1386137255 — ALEGYARI FIGUEROA CRUZ MD, DABOM
Practice Location Address:

13 CALLE BALDORIOTY
COAMO, PR
00769-2497

Practice Phone: 787-558-0106
Practice Fax: 207-776-7583

Directions to “PONCE MEDICAL SCHOOL FOUNDATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.