Ponce Medical Associates LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME50022 Issued in FL

Legal business name

PONCE MEDICAL ASSOCIATES LLC

Practice address

2727 Ponce de Leon Blvd
Coral Gables, FL 33134-6004

Phone

(305) 446-1515

Fax

(305) 446-2622

NPI assigned

Jan 31, 2013

Organization subpart

No

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

Authorized official

Name

Mario Torres, M.D

Title

President

Phone

(305) 446-1515

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1083953764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346004",
            "telephone_number": "305-446-1515",
            "fax_number": "305-446-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346004",
            "telephone_number": "305-446-1515",
            "fax_number": "305-446-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-446-1515",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME50022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Poliszuk, DPT
• Shawnae Pollard
• Polyclinic Health Center Inc
• Ponce Dental Corporation
• Ponce Dental of Coral Gables Corp
• Jessica M. Ponce I
• Paula Louise Ponce, M.A., L.M.H.C.
• Mirta Caridad Pont, LCSW
• Population Health Associates
• Samantha Portalatin

• Primary Care Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.