Ponce, Xiomara Sagrario
Ponce, Xiomara Sagrario is an sole proprietor health care provider with primary practice located at 9380 Sw 72Nd St Suite B-120, Miami FL 33173-3276. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as her primary health care specialty. Ponce, Xiomara Sagrario can be contacted via phone (305) 274-3738.Contact Information
Primary practice address
9380 Sw 72Nd St Suite B-120
Miami FL 33173-3276
Phone: (305) 274-3738
Fax: (305) 274-0841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X |
Profile Details
| NPI number | 1760694012 |
|---|---|
| LBN Legal business name | Ponce, Xiomara Sagrario |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760694012 | NPPES |
| Florida | MEDICAID | 2309 |
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