Organization Active NPI

Ponce Dental of Coral Gables Corp

  • Dentist
  • Coral Gables, FL
National Provider Identifier
1245162387
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PONCE DENTAL OF CORAL GABLES CORP
Practice address
3190 Ponce de Leon Blvd
Coral Gables, FL 33134-6826
Phone
(305) 774-7273
Fax
(321) 400-1370
NPI assigned
Jun 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Malena Lemus Ramos, DMDNPI 1023689387
Title
Dentist
Phone
(786) 614-6145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3190 Ponce de Leon Blvd
Coral Gables, FL 33134-6826

Mailing address

535 W 55TH PL
Hialeah, FL 33012-2554
Phone (305) 774-7273

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1245162387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 W 55TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122554",
            "telephone_number": "305-774-7273",
            "fax_number": "321-400-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346826",
            "telephone_number": "305-774-7273",
            "fax_number": "321-400-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE DENTAL OF CORAL GABLES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "LEMUS RAMOS",
        "authorized_official_first_name": "MALENA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "786-614-6145",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.