Individual
ROBERTO A. PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2903 NW 7TH ST, MIAMI, FL 33125-4305
(305) 649-0555
(305) 642-3460
Mailing address
2903 NW 7TH ST, MIAMI, FL 33125-4305
(305) 649-0555
(305) 642-3460
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC2553
MEDICAL LICENSE
FL
Enumeration date
11/07/2006
Last updated
01/29/2025
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