Individual
DR. JOSE DAVID PONCE RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 937-6000
Mailing address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 937-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
241002
MA
208000000X
Pediatrics Physician
251391
MA
208000000X
Pediatrics Physician
47543
AZ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
251391
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
874417
—
AZ
Enumeration date
05/15/2009
Last updated
03/29/2026
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