Provider Demographics
NPI:1629717004
Name:PONS, KRISTINA (DOULA)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:PONS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:867 W 34TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-5159
Mailing Address - Country:US
Mailing Address - Phone:305-467-6098
Mailing Address - Fax:
Practice Address - Street 1:867 W 34TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-5159
Practice Address - Country:US
Practice Address - Phone:305-467-6098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula