Individual ProviderGuillermo Ponce ParedesPediatricsAllopathic & Osteopathic PhysiciansPractice AddressB7 Calle Santa Cruz, Bayamon, PR 00961-6902(787) 372-3501(787) 797-1908PECOS EnrollmentBased on the most recent information from CMS, provider Guillermo Ponce Paredes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:51 AM.Profile DetailsProvider ID1104860386Provider TypeIndividualFull NamePonce Paredes, GuillermoCredentialMDGenderMaleSole ProprietorYesEnumeration Date6/16/2006Last Updated11/6/2013Contact InformationPractice LocationPractice AddressB7 Calle Santa Cruz, Bayamon, PR 00961-6902Phone(787) 372-3501FaxUnlisted FaxMailing LocationMailing AddressUrb Porto Bello, 932 Calle Porto Santo, Toa Alta, PR 00953Phone(787) 797-1908Fax(787) 797-1908Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense15101Puerto RicoCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseME98045Florida