Provider Demographics
NPI:1235294851
Name:PONS, SONIA NOEMI (PSY,D)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:NOEMI
Last Name:PONS
Suffix:
Gender:F
Credentials:PSY,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1659 CALLE MARQUESA
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-0503
Mailing Address - Country:US
Mailing Address - Phone:787-637-8918
Mailing Address - Fax:
Practice Address - Street 1:2225 PONCE BYP
Practice Address - Street 2:SUITE 304
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1321
Practice Address - Country:US
Practice Address - Phone:787-848-9406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2874103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical