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PONCE MEDICLUB LLC
NPI 1902468523
General Practice in Miami, FL

Active since July 03, 2019
9950 SW 107TH AVE STE 203, MIAMI, FL 33176(305) 908-3144(407) 605-5129 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2022, Jul 3, 2019 (2 updates tracked since 2019).

About Ponce Mediclub Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PONCE MEDICLUB LLC (NPI 1902468523) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since July 2019. The organization lists Maria Lopez, Director Of Operations Med Ctr, as its authorized official.

NPPES Registry Identity

NPI1902468523
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePONCE MEDICLUB LLC
Location Address9950 SW 107TH AVE STE 203Miami, FL 33176-2767
Mailing Address11455 Sw 40th St # 146Miami, FL 33165-3311 · (305) 908-3144 · Fax (407) 605-5129
Phone(305) 908-3144
Fax(407) 605-5129
Organization SubpartNo
Authorized OfficialMaria LopezDirector Of Operations Med Ctr · (305) 992-4521
Enumeration DateJuly 3, 2019
Last NPPES UpdateMay 12, 20222 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
✔ NPI 1902468523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
9950 SW 107TH AVE STE 203, Miami, FL 33176
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ponce Mediclub LLC's NPI number?

The NPI number for Ponce Mediclub LLC is 1902468523. It was assigned to this organization in the NPPES registry on July 3, 2019.

Where is Ponce Mediclub LLC located?

Ponce Mediclub LLC is located at 9950 SW 107th Ave Ste 203, Miami, FL 33176. The listed phone number is (305) 908-3144.

What is Ponce Mediclub LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ponce Mediclub LLC was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.