Pons, Mauricio Edgardo
Pons, Mauricio Edgardo is an individual health care provider with primary practice located at 835 3Rd Ave Ste A , Chula Vista CA 91911-1352. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Pons, Mauricio Edgardo can be contacted via phone (619) 425-7755.Contact Information
Primary practice address
835 3Rd Ave Ste A
Chula Vista CA 91911-1352
Phone: (619) 425-7755
Fax: (619) 425-2138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A87650 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | M8258 | Texas |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | A87650 | California |
Profile Details
| NPI number | 1376723759 |
|---|---|
| LBN Legal business name | Pons, Mauricio Edgardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2007 |
| Last updated | Apr 5th, 2017 - about 7 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 | 1376723759 | NPPES |
| Texas | MEDICAID | 189743102 | |
| Texas | MEDICAID | 189743101 |
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