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 |
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Provider Enumeration Date | 05/26/2016 |
Last Update Date | 09/27/2024 |
Medicare PECOS PAC ID | 3173817855 |
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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 |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740549237 PECOS PAC ID: 6204145964 Enrollment ID: I20160712000693 |
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