| Ponce Medical, Pllc | |
|
2449 Boca Chica Blvd Ste A Brownsville TX 78521-2368 | |
| (956) 350-2973 | |
| Not Available |
| Full Name | Ponce Medical, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2449 Boca Chica Blvd Ste A, Brownsville, Texas |
| Authorized Official Name and Position | Alejandra Ponce (MANAGER) |
| Authorized Official Contact | 9563502973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponce Medical, Pllc 2449 Boca Chica Blvd Ste A Brownsville TX 78521-2368 Ph: (956) 350-2973 | Ponce Medical, Pllc 2449 Boca Chica Blvd Ste A Brownsville TX 78521-2368 Ph: (956) 350-2973 |
| NPI Number | 1386092617 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 05/05/2022 |
| Medicare PECOS PAC ID | 3173817855 |
|---|---|
| Medicare Enrollment ID | O20160803000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386092617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | Q8124 (Texas) | Primary |
| Provider Name | Alejandra Ponce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740549237 PECOS PAC ID: 6204145964 Enrollment ID: I20160712000693 |
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