Organization
PONCE MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM MONTOTO (PRESIDENT)
(305) 496-6000
Entity
Organization
Contact information
Practice address
14055 SW 142ND AVE, SUITE 18, MIAMI, FL 33186-6757
(305) 496-6000
Mailing address
14055 SW 142ND AVE, SUITE 18, MIAMI, FL 33186-6757
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N/A
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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