Individual provider Active NPI

Jose Enrique Ponce, N.P.

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1427105626
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1375412 Issued in FL
Practice address
1321 NW 13TH St
Pre-Trial Detention Center, Corrections Health Services
Miami, FL 33125-1603
Phone
(786) 263-4120
Fax
(305) 545-4042
NPI assigned
Jan 3, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1375412 FL Primary

Addresses

Primary practice location

1321 NW 13TH St
Pre-Trial Detention Center, Corrections Health Services
Miami, FL 33125-1603

Mailing address

6331 Hutchinson Rd
Miami Lakes, FL 33014-2301
Phone (305) 819-6495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1375412FLMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427105626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6331 HUTCHINSON RD",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142301",
            "telephone_number": "305-819-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 NW 13TH ST",
            "address_2": "PRE-TRIAL DETENTION CENTER, CORRECTIONS HEALTH SERVICES",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251603",
            "telephone_number": "786-263-4120",
            "fax_number": "305-545-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "JOSE",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "1375412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.