Individual provider · Type 1 NPI
Miguel Ponce, CNP
Surgical Physician Assistant · Las Cruces, NM
NPI number
1750428819
Active
Practice location
150 N Roadrunner Pkwy
Las Cruces, NM 88011-7044
Fax (575) 556-6445
Mailing address
1009 Calle Parque Dr
El Paso, TX 79912-7502
Other practice locations
- 3215 Gateway Blvd W, El Paso, TX 79903-4225 · (915) 598-7246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 66710 (NM) |
| Surgery Physician | 208600000X | 241536 (TX) |
| Family Nurse Practitioner | 363LF0000X | 1071475 (TX) |
| Family Nurse Practitioner | 363LF0000X | 66710 (NM) |
| Surgical Physician Assistant Primary | 363AS0400X | 66710 (NM) |
Surgical Physician Assistant: Definition to come...
4 other providers at this address
Other surgical physician assistant providers in Las Cruces
About NPI 1750428819
Miguel Ponce, CNP's National Provider Identifier is 1750428819, issued on Jan 30, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Las Cruces, NM. The record was last updated on Mar 18, 2023.