FERNANDA SAMIRA PONCE


Address: 130 Division St, Derby, CT 06418-1326
Phone: 2037327327

FERNANDA SAMIRA PONCE (NPI# 1194285486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194285486
Entity Type Individual
Full Name FERNANDA SAMIRA PONCE
Credential MD
Practice Address 130 Division St
Derby
CT 06418-1326
Mailing Address 8390 Sw 72nd Ave Apt 304
Miami
FL 33143-7664
Practice Telephone 2037327327
Enumeration Date 2019-03-22
Last Update Date 2019-03-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers FERNANDA PONCE

NPI Name Taxonomy Address Enumeration
1588151492 Fernanda Ponce Counselor 14225 Sw 42nd St, Miami, FL 33175-6408 2018-04-16

Office Location

Street Address 130 DIVISION ST
City DERBY
State CT
Zip Code 06418-1326

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427058478 Mihaela Boran Psychiatry & Neurology 130 Division St, Derby, CT 06418-1326 2005-07-29
1437767134 Sovit Dahal Student in an Organized Health Care Education/Training Program 130 Division St, Derby, CT 06418-1326 2020-07-20
1649894056 Julie Sim Student in an Organized Health Care Education/Training Program 130 Division St, Derby, CT 06418-1326 2020-06-01
1073133435 Angad Singh Gill Student in an Organized Health Care Education/Training Program 130 Division St, Griffin Hospital, Derby, CT 06418 2020-04-25
1699394924 Ricardo Adolfo Concepcion Gomez Student in an Organized Health Care Education/Training Program 130 Division St, Derby, CT 06418 2020-04-16
1104455112 Maharshi Panchal Student in an Organized Health Care Education/Training Program 130 Division St, Derby, CT 06418-1326 2020-04-02
1104455252 Anwesh Babu Poosala Student in an Organized Health Care Education/Training Program 130 Division St, Derby, CT 06418-1326 2020-04-01
1720615271 Anthony Karam Awad Student in an Organized Health Care Education/Training Program 130 Division St, Derby, CT 06418-1326 2020-03-25
1134756760 Douglas Misael Palacios Hernandez Student in an Organized Health Care Education/Training Program 130 Division St, Derby, CT 06418-1326 2020-03-24
1437786142 Rosa Constantino Student in an Organized Health Care Education/Training Program 130 Division St, Derby, CT 06418-1326 2020-03-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942839105 Fnu Prinkiya Student in an Organized Health Care Education/Training Program Griffin Hospital. 130 Division St, Derby, CT 06418 2020-04-08
1942837935 Ivanshi A Gondalia Student in an Organized Health Care Education/Training Program Griffin Hospital, 130 Division St, Derby, CT 06418 2020-03-27
1972168094 Pir Saad Student in an Organized Health Care Education/Training Program C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 2019-05-03
1295398899 Ahtsham Yousaf Chaudhary Student in an Organized Health Care Education/Training Program 130 Division St, Griffin Hospital, Derby, CT 06418 2019-04-18
1477016376 Rabia Usman Student in an Organized Health Care Education/Training Program 130 Division St. Griffin Hospital, Derby, CT 06418 2019-04-09
1932661428 Meshal Qaiser Student in an Organized Health Care Education/Training Program 130 Division Street Griffin Hospital, Derby, CT 06418 2019-04-03
1275027666 Victoria Anne Hodge Enquist Social Worker 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 2018-06-19
1811485758 Nimeshayan Varatharajah Student in an Organized Health Care Education/Training Program Griffin Hospital, 130 Division St., Derby, CT 06418 2018-04-26
1851889836 Pete Prashamsa Shenoy Student in an Organized Health Care Education/Training Program Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 2018-04-25
1639696594 Samantha Leigh Bassett Counselor 90 Sodom Lane, Derby, CT 06418 2017-08-23
Find all providers in zip 06418

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427671544 Zadoo Bendega Student in an Organized Health Care Education/Training Program 17 Swinburne Street, Flat 16, The Old Vicarage, Derby, DERBY DE1 2HL 2020-05-22
1942839105 Fnu Prinkiya Student in an Organized Health Care Education/Training Program Griffin Hospital. 130 Division St, Derby, CT 06418 2020-04-08
1942837935 Ivanshi A Gondalia Student in an Organized Health Care Education/Training Program Griffin Hospital, 130 Division St, Derby, CT 06418 2020-03-27
1972168094 Pir Saad Student in an Organized Health Care Education/Training Program C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 2019-05-03
1295398899 Ahtsham Yousaf Chaudhary Student in an Organized Health Care Education/Training Program 130 Division St, Griffin Hospital, Derby, CT 06418 2019-04-18
1477016376 Rabia Usman Student in an Organized Health Care Education/Training Program 130 Division St. Griffin Hospital, Derby, CT 06418 2019-04-09
1932661428 Meshal Qaiser Student in an Organized Health Care Education/Training Program 130 Division Street Griffin Hospital, Derby, CT 06418 2019-04-03
1477043990 Pragati Bogra Student in an Organized Health Care Education/Training Program 130, Division St, Derby, CT 06401 2018-05-10
1811485758 Nimeshayan Varatharajah Student in an Organized Health Care Education/Training Program Griffin Hospital, 130 Division St., Derby, CT 06418 2018-04-26
1851889836 Pete Prashamsa Shenoy Student in an Organized Health Care Education/Training Program Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 2018-04-25
Find all providers in DERBY

Competitor

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City DERBY
Zip Code 06418

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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