Provider Demographics
NPI:1992143390
Name:PONCE, JOY (MS,ED)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:PONCE
Suffix:
Gender:F
Credentials:MS,ED
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:MIRANDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,ED
Mailing Address - Street 1:1796 TONKA TER
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-7197
Mailing Address - Country:US
Mailing Address - Phone:917-642-8756
Mailing Address - Fax:
Practice Address - Street 1:1796 TONKA TER
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-7197
Practice Address - Country:US
Practice Address - Phone:917-642-8756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-06
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No174400000XOther Service ProvidersSpecialist