Ponce Home Medical Equipment Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1313412 Issued in FL

Legal business name

PONCE HOME MEDICAL EQUIPMENT INC

Practice address

665 State Road 207
Suite 108
Saint Augustine, FL 32084-5938

Phone

(904) 826-0700

Fax

(904) 826-0800

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Betty Ponce, MS

Title

Ceo Owner

Phone

(904) 826-0700

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Betty Carvajal-Pantaleon, MS, PHD

  • Mental Health Counselor
  • St Augustine, FL
  • NPI 1356614960
  NPD (past)

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1467638700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3123",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320853123",
            "telephone_number": "904-824-4990",
            "fax_number": "904-824-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 STATE ROAD 207",
            "address_2": "SUITE 108",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320845938",
            "telephone_number": "904-826-0700",
            "fax_number": "904-826-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE HOME MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "904-826-0700",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "1313412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032384500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHA LICENSE",
            "identifier": "1313412",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1837478",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP - DOL",
            "identifier": "613159000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXYGEN LICENSE",
            "identifier": "326649",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jency Nahomy Polanco, APRN
• Polished Dental Professionals, PLLC
• Maressa T Pollen
• Jennie Angela Poma-Jones, LCSW
• Ponce de Leon Family Dentistry
• Ponce Home Medical Equipment, Inc.
• Ponce NH LLC
• Louis John Pontarelli
• Nitesh Popat, DDS
• Adriano Portes, RPH

• Oxygen Equipment & Supplies (DME) in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.