Mr Martin Amable Ponciano, RN, LMFT is a
Registered Nurse - Psychiatric/mental Health based in Santa Cruz, California. Mr Martin Amable Ponciano is licensed to practice in California (license number 95259414) and his current practice location is
2250 Soquel Ave, Santa Cruz, California. He can be reached at his office (for appointments etc.) via phone at
(831) 600-2800.
NPI number for Mr Martin Amable Ponciano is 1245595529 and his current mailing address is 225 Main St # 945, Watsonville, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245595529.
Healthcare Provider's Profile
Full Name | Mr Martin Amable Ponciano |
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Gender | Male |
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Speciality | Registered Nurse - Psychiatric/mental Health |
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Location | 2250 Soquel Ave, Santa Cruz, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245595529
- Provider Enumeration Date: 07/12/2012
- Last Update Date: 04/24/2024
Medical Identifiers
Medical identifiers for Mr Martin Amable Ponciano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245595529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFC 96247 (California) | Secondary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 95259414 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Martin Amable Ponciano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Martin Amable Ponciano, RN, LMFT 225 Main St # 945, Watsonville, CA 95076-9998 Ph: (619) 274-1682 | Mr Martin Amable Ponciano, RN, LMFT 2250 Soquel Ave, Santa Cruz, CA 95062-1402 Ph: (831) 600-2800 |
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