Individual
MIGUEL PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
150 N ROADRUNNER PKWY, LAS CRUCES, NM 88011-7044
(575) 556-6440
(575) 556-6445
Mailing address
1009 CALLE PARQUE DR, EL PASO, TX 79912-7502
(915) 241-6867
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
66710
NM
208600000X
Surgery Physician
241536
TX
363AS0400X
Surgical Physician Assistant
Primary
66710
NM
363LF0000X
Family Nurse Practitioner
1071475
TX
363LF0000X
Family Nurse Practitioner
66710
NM
Other
Enumeration date
01/30/2007
Last updated
03/18/2023
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