Individual provider Active NPI

Monica Joan Ponce, PA-C

  • Physician Assistant
  • South Miami, FL
National Provider Identifier
1396947446
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102948 Issued in FL
Practice address
6280 Sunset Dr
Suite 502
South Miami, FL 33143-4827
Phone
(305) 596-0870
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102948 FL Primary

Addresses

Primary practice location

6280 Sunset Dr
Suite 502
South Miami, FL 33143-4827

Mailing address

13254 SW 114TH Ter
Miami, FL 33186-7916
Phone (305) 926-1845

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121016000618 FL Practitioner - Physician Assistant 0244480838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Derm Group LLPGroup PAC ID 9335478908, 32 clinicians

Practice addresses (Care Compare)

11760 Bird Rd
Suite 451
Miami, FL 33175-3598
Phone (305) 245-1332

6310 Sunset Dr
South Miami, FL 33143-4823
Phone (305) 669-2799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Steven R Poliakoff MD PL Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396947446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13254 SW 114TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867916",
            "telephone_number": "305-926-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 SUNSET DR",
            "address_2": "SUITE 502",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434827",
            "telephone_number": "305-596-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "MONICA",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.