Ponce Plaza, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

11400961 Issued in FL

Legal business name

PONCE PLAZA, INC

Practice address

335 SW 12TH Ave
Miami, FL 33130-2011

Phone

(305) 545-6695

Fax

(305) 545-0398

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Desiree Sebastian-Santiago, NHA

Title

Administrator

Phone

(305) 545-6695

Specialties & licenses 1

Addresses

Other names 1

• PONCE PLAZA NURSING & REHABILITATION CENTER Doing business as

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174693303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 SW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302011",
            "telephone_number": "305-545-6695",
            "fax_number": "305-545-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 SW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302011",
            "telephone_number": "305-545-6695",
            "fax_number": "305-545-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE PLAZA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEBASTIAN-SANTIAGO",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-545-6695",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "11400961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PONCE PLAZA NURSING & REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ponce Medical Supply Inc
• Ponce Medical Supply, Inc.
• Ponce Mediclub LLC
• Bruno Ponce Pavon
• Ponce Plaza Inc
• Ponce Rehab Operations LLC
• Elssy Yelitza Ponce Vega
• Ana Laura Ponce
• Barbara Beatriz Ponce, PA-C
• Felizardo Ponce

• Skilled Nursing Facility in Miami, FL
• Providers in Miami, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.