Ponce, Juan C

Ponce, Juan C is an individual health care provider with primary practice located at 8323 Nw 12Th St Ste 108 , Doral FL 33126-1839. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Ponce, Juan C can be contacted via phone (305) 400-8511.

Contact Information

Primary practice address
8323 Nw 12Th St Ste 108 Doral FL 33126-1839
Phone: (305) 400-8511
Fax: (305) 392-0184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APRN11012428 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11012428 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11012428 Florida

Profile Details

NPI number 1639848419
LBN Legal business name Ponce, Juan C
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2021
Last updated Apr 29th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639848419 NPPES
Florida MEDICAID 112093100

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