# MIGUEL PONCE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750428819
- **Gender:** Man
- **Credential:** CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | 66710 | NM | — |
| 208600000X | Surgery Physician | 241536 | TX | — |
| 363AS0400X | Surgical Physician Assistant | 66710 | NM | Yes |
| 363LF0000X | Family Nurse Practitioner | 1071475 | TX | — |
| 363LF0000X | Family Nurse Practitioner | 66710 | NM | — |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 03/18/2023