PONCE MEDICAL SUPPLY INC (NPI# 1538573373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538573373 |
| Entity Type | Organization |
| Organization Name | PONCE MEDICAL SUPPLY INC |
| Practice Address |
5068 Nw 74 Ave Miami FL 33166 |
| Practice Telephone | 7865024620 |
| Practice Fax Number | 7865024628 |
| Mailing Telephone | 7865024620 |
| Mailing Fax Number | 7865024628 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |
| Authorized Official Name | KRYSTAL S GJELOSHI (PRESIDENT) |
| Authorized Official Telephone | 7865024620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
5068 NW 74 AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402027 | Sfl Nutrition | Nutritionist | 3901 Nw 79th Ave. Suite 245, #312, Miami, FL 33166 | 2019-08-11 |
| 1629543590 | Rosa Alina Alayo | Nurse Practitioner | 151 Fairway Dr Unit 2308, Miami Springs, FL 33166 | 2018-10-08 |
| 1518445618 | Icare Behavior Services, LLC | Behavior Technician | 8180 Nw 36th St Ste 100l, Doral, FL 33166 | 2018-07-31 |
| 1871087684 | Yohjan Suarez-martinez | Nurse Practitioner | 6221 Nw 36 Th St, Miami, FL 33166 | 2018-06-15 |
| 1639683709 | Sonia Gloria Garcia | Nurse Practitioner | 7325 Nw 36th St, Miami, FL 33166 | 2017-11-27 |
| 1891214607 | Jose Sanchez | Early Intervention Provider Agency | 1036 Quail Ave, Miami Springs, FL 33166 | 2017-09-12 |
| 1659893022 | Yanelis Pineiro | Behavioral Analyst | 249 South Royal Poinciana Boulevard, Apto 202, Miami Springs, FL 33166 | 2017-07-07 |
| 1720509748 | Roxana Rodriguez | Behavior Technician | 8359 Nw South River Dr, Medley, FL 33166 | 2017-06-29 |
| 1457881278 | Dairene Gonzalez Ruiz | Behavior Technician | 6501 Nw 36th Street, Suite 411, Virginia Gardens, FL 33166 | 2017-06-14 |
| 1699204198 | Oz Medical Center Inc | Physical Medicine & Rehabilitation | 3900 Nw 79 Ave., Suite 815, Miami, FL 33166 | 2017-06-08 |
| Find all providers in zip 33166 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861996696 | Renuvala LLC | Prosthetic/Orthotic Supplier | 750 Nw 113 St, Miami, FL 33168 | 2018-03-19 |
| 1003327339 | All Orthopedic Supplies Corp | Prosthetic/Orthotic Supplier | 175 Fontainbleau Blvd, Ste P1, Miami, FL 33172 | 2017-10-13 |
| 1003230632 | Ortho Pro Associates, Inc. | Prosthetic/Orthotic Supplier | 2450 Ne Miami Gardens Dr, Suite 100, Miami, FL 33180-2717 | 2014-02-18 |
| 1427332212 | Girls In Pink Mastectomy Products | Prosthetic/Orthotic Supplier | 15894 Sw 85th Ln, Miami, FL 33193-5208 | 2011-09-28 |
| 1679800593 | Quirantes Orthopedics Rx | Prosthetic/Orthotic Supplier | 6969 Coral Way, Miami, FL 33155-1705 | 2009-11-13 |
| 1447413778 | Ladies In Pink Boutique LLC | Prosthetic/Orthotic Supplier | 271 Nw 82nd Ave, Miami, FL 33126-8339 | 2008-07-07 |
| 1104099845 | Ortho Care Rx Corp | Prosthetic/Orthotic Supplier | 1707 Coral Way, Miami, FL 33145-2728 | 2008-04-02 |
| 1295931210 | Rx Castillo Orthopedic Center, Inc | Prosthetic/Orthotic Supplier | 3183 Sw 8th St, Miami, FL 33135-4533 | 2007-06-26 |
| 1578699393 | Kendall Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 13044 Sw 120th St, Miami, FL 33186-4522 | 2007-02-26 |
| 1083766547 | All Custom Corsets Inc | Prosthetic/Orthotic Supplier | 2137 Sw 8th St, Miami, FL 33135-3319 | 2007-01-17 |
| Find all providers in MIAMI | ||||
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| 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.