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Contact Information

MIGUEL PONCE, CNP
150 N ROADRUNNER PKWY
LAS CRUCES, NM88011-7044
 Phone: 575-556-6440
 Fax: 575-556-6445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Family

363LF0000X 50 Nurse Practitioner
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MIGUEL PONCE · (Male)

NPI # 1750428819
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 01/30/2007
Last updated 03/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 66710
  • TX License # 1071475
  • TX License # 241536
Hospital affiliation(s)
  • GERALD CHAMPION REGIONAL MEDICAL CENTE - (Acute Care)
    2669 NORTH SCENIC DRIVE
    ALAMOGORDO, NM 88310
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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