SUSANA FIORELLA PONCE APRN NPI 1023756897

NPI Information

NPI: 1023756897
Provider Name: SUSANA FIORELLA PONCE, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
11641 KEW GARDENS AVE STE 205
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 337-4055
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Susana Fiorella Ponce, APRN is a family nurse practitioner in Palm Beach Gardens, FL with 2 years of experience. Susana Fiorella Ponce, APRN NPI is 1023756897. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11641 KEW GARDENS AVE STE 205
PALM BEACH GARDENS, FL
ZIP 33410-846
Phone: (561) 337-4055
Fax: (561) 516-6626

The NPI 1023756897 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2022 and was last updated on 3/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WI0500X	Registered Nurse	Infusion Therapy	9374806	FLORIDA	No
2	363L00000X	Nurse Practitioner		APRN11019171	FLORIDA	No
3	363LF0000X	Nurse Practitioner	Family	APRN11019171	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	114739900	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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