Ponce Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12998 Issued in FL

Legal business name

PONCE DENTAL CORPORATION

Practice address

3190 Ponce de Leon Blvd
Coral Gables, FL 33134-6826

Phone

(305) 774-7273

NPI assigned

Aug 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Manuel G LopezNPI 1053328211

Title

President

Phone

(305) 774-7273

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manuel G Lopez, DDS

  • General Practice Dentistry
  • Coral Gables, FL
  • NPI 1053328211
  NPD (past) Authorized official

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1710236161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346826",
            "telephone_number": "305-774-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346826",
            "telephone_number": "305-774-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-774-7273",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polestar Pilates Center, LLC
• Jorge M Poli, MSW
• Robert Poliszuk, DPT
• Shawnae Pollard
• Polyclinic Health Center Inc
• Ponce Dental of Coral Gables Corp
• Ponce Medical Associates LLC
• Jessica M. Ponce I
• Paula Louise Ponce, M.A., L.M.H.C.
• Mirta Caridad Pont, LCSW

• General Practice Dentistry in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.