OrganizationActive
Ponce Mediclub LLC
NPI 1902468523 · General Practice Physician · Miami, FL
Ponce Mediclub LLC is a General Practice Physician organization in Miami, FL (NPI 1902468523).
Provider details
- NPI number
- 1902468523
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maria Lopez, Director of Operations Med Ctr(305) 992-4521
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9950 Sw 107th Ave Ste 203
Miami, FL 33176-2767
Phone: (305) 908-3144
Fax: (407) 605-5129
Street-level locationGet directions
Mailing address
11455 Sw 40th St # 146
Miami, FL 33165-3311
Registry dates
- Enumerated
- 2019-07-03
- Last updated
- 2022-05-12
- Certified
- 2022-05-10
Frequently asked questions
- What is Ponce Mediclub LLC's NPI number?
- Ponce Mediclub LLC's National Provider Identifier (NPI) is 1902468523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ponce Mediclub LLC?
- Ponce Mediclub LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Ponce Mediclub LLC located?
- Ponce Mediclub LLC's practice location on file with NPPES is 9950 Sw 107th Ave Ste 203, Miami, FL 33176-2767.
- What is Ponce Mediclub LLC's phone number?
- The practice phone number listed in the NPPES registry for Ponce Mediclub LLC is (305) 908-3144.
- Who is the authorized official for Ponce Mediclub LLC?
- The authorized official listed on Ponce Mediclub LLC's NPPES record is Maria Lopez, Director of Operations Med Ctr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ponce Mediclub LLC's NPI active?
- Yes — Ponce Mediclub LLC's NPI (1902468523) is active in the NPPES registry as of the last update on 2022-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.