Ponce Services Corporation Inc in Virginia Gardens - Clinic/center

Ponce Services Corporation Inc - NPI 1174685879

Ponce Services Corporation Inc is a Clinic/center in Virginia Gardens, Florida. Ponce Services Corporation Inc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Ponce Services Corporation Inc is 1174685879. The last update date is 2020-08-22.

Ponce Services Corporation Inc's current location address is 6595 Nw 36th St, Virginia Gardens, Florida. You can contact this provider via phone number 3052443967. The mailing address for Ponce Services Corporation Inc is 6595 Nw 36th St, Virginia Gardens, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ponce Services Corporation Inc
Address 6595 Nw 36th St, Virginia Gardens, Florida
Phone Number 3052443967
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Sabogal Mary Luz
Telephone Number 3052443967

NPI Number Detail

NPI Number 1174685879
Provider Enumeration Date 2006-12-16
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 6595 Nw 36th St
City Virginia Gardens
State Florida (FL)
Post Code 331666979
Phone Number 3052443967
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HCC5507 FL AHCA CERTIFICATE OF EXEMP

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FAQs about Ponce Services Corporation Inc

What is the unique identifier code issued to Ponce Services Corporation Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Ponce Services Corporation Inc has been assigned the NPI (National Provider Identifier) 1174685879. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Ponce Services Corporation Inc's facilities are situated?

The facilities of Ponce Services Corporation Inc are physically located at the following address: 6595 Nw 36Th St, Virginia Gardens, FL, 331666979.

What is Ponce Services Corporation Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ponce Services Corporation Inc is Clinic/center, and the taxonomy code that classifies this field of practice is 261Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1174685879 to Ponce Services Corporation Inc?

The Centers for Medicare & Medicaid Services assigned the 1174685879 to Ponce Services Corporation Inc on 2006-12-16.

As of what date were the details pertaining to Ponce Services Corporation Inc last refreshed?

The information related to the Ponce Services Corporation Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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