Organization
PONCE HEALTH GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELA PONCE R.N. (PRESIDENT, SECRETARY & TREASURER)
(305) 551-5051
Entity
Organization
Contact information
Practice address
9780 SW 24TH ST, MIAMI, FL 33165-7574
(305) 551-5051
Mailing address
4444 SW 136TH PL, MIAMI, FL 33175-3721
(305) 222-6075
(305) 551-8808
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RN9236599
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
REGISTERED NURSE
RN9236599
FL
Enumeration date
04/02/2007
Last updated
07/23/2007
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