Individual provider Active NPI

Fernanda Samira Ponce, MD

  • Internal Medicine Physician
  • Palmetto Bay, FL
National Provider Identifier
1194285486
Registry record updated Apr 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME156325 Issued in FL
Practice address
8750 SW 144TH St Ste 100
Palmetto Bay, FL 33176-7229
Phone
(786) 596-3840
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 69878 CT
Internal Medicine Physician 207R00000X ME156325 FL Primary

Addresses

Primary practice location

8750 SW 144TH St Ste 100
Palmetto Bay, FL 33176-7229

Mailing address

8750 SW 144TH St Ste 100
Palmetto Bay, FL 33176-7229
Phone (786) 596-3840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901003619 FL Practitioner - Internal Medicine 1052792132 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Physicians of West Kendall LLCGroup PAC ID 4789772591, 31 clinicians
Urgent Care Physicians of Country Walk LLCGroup PAC ID 6204990385, 34 clinicians
Collins Physician Services, LLCGroup PAC ID 9234476920, 48 clinicians

Practice addresses (Care Compare)

13001 N Kendall Dr
Miami, FL 33186-1708
Phone (786) 596-3800

13500 SW 152 St
Miami, FL 33177-1111
Phone (786) 596-4300

4300 Alton Rd
Miami, FL 33140-2948
Phone (305) 481-9776

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME156325FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Physicians of West Kendall LLC CurrentSince Jul 12, 2023 Accepting new patients
Urgent Care Physicians of Westchester LLC CurrentSince Jul 12, 2023 Accepting new patients
Urgent Care Physicians of Tamiami LLC CurrentSince Jul 12, 2023 Accepting new patients
Urgent Care Physicians of Country Walk LLC CurrentSince Jul 12, 2023 Accepting new patients
Urgent Care Physicians of Palmetto Bay LLC CurrentSince Jul 12, 2023 Accepting new patients
Collins Physician Services, LLC Internal Medicine CurrentSince Aug 25, 2022 Accepting new patients
Urgent Care Physicians of Cutler Bay, LLC CurrentSince Feb 20, 2025 Accepting new patients

Locations

6264 W Sample Rd
Coral Springs, FL 33067
Phone (954) 837-1010

20997 Old Cutler Rd
Cutler Bay, FL 33189
Phone (786) 595-1780

14661 SW 56th St
Miami, FL 33175
Phone (786) 457-5261

13500 SW 152nd St
Miami, FL 33177
Phone (786) 596-4300

13001 SW 88th St
Miami, FL 33186
Phone (786) 596-3800

9130 S Dadeland Blvd
Ste 1202
Miami, FL 33156
Phone (330) 317-1594

8840 SW 40th St
Ste 100
Miami, FL 33165
Phone (786) 596-3890

14660 SW 8th St
#100
Miami, FL 33184
Phone (786) 596-4100

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

8750 SW 144th St
Ste 100
Palmetto Bay, FL 33176
Phone (305) 253-5585

8750 SW 144th St
Palmetto Bay, FL 33176
Phone (786) 596-3840

11805 S Dixie Hwy
Pinecrest, FL 33156
Phone (786) 467-5200

200 Corporate Blvd
Lafayette, LA 70508

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680912000000",
    "number": "1194285486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 SW 144TH ST STE 100",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767229",
            "telephone_number": "786-596-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 SW 144TH ST STE 100",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767229",
            "telephone_number": "786-596-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "FERNANDA",
        "middle_name": "SAMIRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-04-08",
        "certification_date": "2023-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "69878",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME156325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.