Ponce & Camhi Care Service Corp

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

PONCE & CAMHI CARE SERVICE CORP

Practice address

7730 NW South River Dr
Medley, FL 33166-2512

Phone

(786) 260-3608

NPI assigned

Mar 10, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yordan Ponce

Title

Ceo

Phone

(786) 260-3608

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1003517756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 NW SOUTH RIVER DR",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331662512",
            "telephone_number": "786-260-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 NW SOUTH RIVER DR",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331662512",
            "telephone_number": "786-260-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE & CAMHI CARE SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "YORDAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-260-3608"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernesto Perez de Medina Baez, RBT-24-321744
• Javier Perez Lopez
• Vanessa Danielle Perez, PSY.D.
• Physicians Partners Group Puerto Rico LLC
• Pines Health Center Inc
• Erick Portillo, RBT
• Daylen Puente Moratalla, RBT-22-204977
• Randle Eastern Ambulance Service Inc
• Reliable Home Health Care, Inc.
• Relief Care Inc.

• Developmental Disabilities Clinic/Center in Medley, FL
• Providers in Medley, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.