Organization provider

PONCE ADVANCE MEDICAL GROUP

Primary Care Clinic/Center Family Medicine Physician Internal Medicine Physician

PONCE ADVANCE MEDICAL GROUP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104049121, based in Ponce, PR. The organization lists 5 taxonomy classifications, with Primary Care Clinic/Center recorded as primary.

Getting there

The practice address on file is CALLE FERROCARRIL INT AVE MUNOZ RIVERA CENTRO COMERCIAL SANTA MARIA LOCAL 4, Ponce, PR 00717. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

CALLE FERROCARRIL INT AVE MUNOZ RIVERA CENTRO COMERCIAL SANTA MARIA LOCAL 4, Ponce, PR 00717 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
07-B-2318 PR Primary Care Clinic/Center primary

This provider holds licence 07-B-2318 issued in PR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Primary Care covers

Definition to come... NUCC Health Care Provider Taxonomy, code 261QP2300X
Ambulatory Health Care Facilities Clinic/Center Primary Care

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

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

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104049121 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateApr 10, 2007
Last updatedAug 29, 2025
StatusActive
Practice address CALLE FERROCARRIL INT AVE MUNOZ RIVERA
CENTRO COMERCIAL SANTA MARIA LOCAL 4
Ponce, PR 00717
(787) 651-4544
Mailing address 1575 AVE MUNOZ RIVERA PMB 282,
Ponce, PR 00717
This record was updated on Aug 29, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104049121 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 0 4 9 1 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 0 4 9 1 4

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104049121?
NPI 1104049121 is the National Provider Identifier assigned to PONCE ADVANCE MEDICAL GROUP in Ponce, PR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Primary Care cover?
Definition to come...
How do I contact PONCE ADVANCE MEDICAL GROUP?
The phone number on file with NPPES is (787) 651-4544, last updated Aug 29, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104049121 a valid number?
Yes. 1104049121 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.