Juan C Ponce, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11012428 Issued in FL

Practice address

8323 NW 12TH St Ste 108
Doral, FL 33126-1839

Phone

(305) 400-8511

Fax

(305) 392-0184

NPI assigned

Sep 7, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

SJ Research Institute LLCGroup PAC ID 1052844701, 4 clinicians

Medisun Medical Center IncGroup PAC ID 6406395656, 4 clinicians

Behavior Support Center of Florida IncGroup PAC ID 2567798523, 3 clinicians

Community Behavioral Health LLCGroup PAC ID 6204164882, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Behavior Support Center of Florida Inc

  • Community/Behavioral Health Agency
  • Miami Lakes, FL
  • NPI 1912367558
  Medicare reassignment Care Compare group NPD
• Community Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Doral, FL
  • NPI 1649733544
  Medicare reassignment Care Compare group NPD
• Medisun Medical Center Inc

  • Clinic/Center
  • North Miami, FL
  • NPI 1285480350
  Medicare reassignment Care Compare group
• SJ Research Institute LLC

  • Psychiatry Physician
  • Miami, FL
  • NPI 1538857131
  Medicare reassignment Care Compare group
• American Rehabilitation Medical Center Corp

  • Community Health Clinic/Center
  • Miami, FL
  • NPI 1386195923
  Medicare reassignment NPD
• Medisun Medical Center 2 Inc

  • Clinic/Center
  • Ft. Lauderdale, FL
  • NPI 1780406926
  Medicare reassignment NPD
• Florida Behavioral Center, Inc

  • Community/Behavioral Health Agency
  • Doral, FL
  • NPI 1912334863

  Mental Health

  NPD
• Amore Mental Health Corp.

  • Adult Mental Health Clinic/Center
  • Miami, FL
  • NPI 1780243931
  NPD (past)

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1639848419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 DEL PRADO BLVD S STE 303",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047222",
            "telephone_number": "239-317-0265",
            "fax_number": "239-673-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8323 NW 12TH ST STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261839",
            "telephone_number": "305-400-8511",
            "fax_number": "305-392-0184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 NW 62nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331504543",
            "country_code": "US",
            "telephone_number": "786-360-5625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONCE",
        "first_name": "JUAN",
        "middle_name": "C",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-07",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "APRN11012428",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012428",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11012428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112093100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Polyclinic Healthcare Corp
• Jordan J Pomares Benitez
• Maria Clara Pombo, DDS
• Ponce Medical
• Ponce Services Corporation Inc
• Leah S Pons Espinosa
• Kaitlyn Pont
• Sverker Porras, PHARMD
• Marcela Porro
• Porta del Sol Surgical Services Inc

• Psychiatric/Mental Health Nurse Practitioner in Doral, FL
• Providers in Doral, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.