MEDICARE: SONIA GARCIA PONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator	CBHCMS.0101058	FL
2	101YM0800X	Mental Health Counselor	MH25396	FL
3	251S00000X	Community/Behavioral Health Agency		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144735028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA GARCIA PONS

Provider Business Mailing Address
First Line	:	7916 ELMSTONE CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-6982
Country	:	US
Telephone Number	:	407-802-8582
Fax Number	:

Provider Business Practice Location Address
First Line	:	7916 ELMSTONE CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-6982
Country	:	US
Telephone Number	:	407-802-8582
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2017
Last Update Date	:	06/03/2026

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