Ponce Medical Supply Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PONCE MEDICAL SUPPLY INC

Practice address

5068 NW 74 Ave
Miami, FL 33166

Phone

(786) 502-4620

Fax

(786) 502-4628

NPI assigned

Jun 19, 2014

Last updated

Jun 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krystal S Gjeloshi

Title

President

Phone

(786) 502-4620

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1538573373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5068 NW 74 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "786-502-4620",
            "fax_number": "786-502-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5068 NW 74 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "786-502-4620",
            "fax_number": "786-502-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "GJELOSHI",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-502-4620"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Ponce de Leon, M.D
• Yordy Julian Ponce de Leon, PHARM D
• Rosali Ponce Guerra
• Ponce Health Group, Inc.
• Miguel Ponce Martinez
• Ponce Medical Supply, Inc.
• Ponce Mediclub LLC
• Bruno Ponce Pavon
• Ponce Plaza Inc (Ponce Plaza Nursing and Rehabilitation Center)
• Ponce Plaza, Inc (Ponce Plaza Nursing & Rehabilitation Center)

• Prosthetic/Orthotic Supplier in Miami, FL
• Providers in Miami, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.