| Hector Anibal Ponce Sr, AGNP | |
|
3900 E Lohman Ave Ste B, Las Cruces, NM 88011-8268 | |
| (575) 522-5752 | |
| (575) 522-5722 |
| Full Name | Hector Anibal Ponce Sr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 3900 E Lohman Ave Ste B, Las Cruces, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083485213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 77261 (New Mexico) | Primary |
| Entity Name | Renal Medicine Associates Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356347439 PECOS PAC ID: 1052217585 Enrollment ID: O20031208000419 |
| Entity Name | Otero County Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861450579 PECOS PAC ID: 3173516606 Enrollment ID: O20070212000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Hector Anibal Ponce Sr, AGNP 12848 Tierra Pueblo, El Paso, TX 79938-4303 Ph: (915) 217-6585 | Hector Anibal Ponce Sr, AGNP 3900 E Lohman Ave Ste B, Las Cruces, NM 88011-8268 Ph: (575) 522-5752 |
Miss Bianca Elena Montes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1455 S Valley Dr Ste B, Las Cruces, NM 88005 Phone: 575-526-6992 Fax: 575-526-7983 | |
Shelby Danae Whitlock-virden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5020 Meadow Cir, Las Cruces, NM 88007 Phone: 575-649-7113 | |
Dr. Rhaemi E Gaufin, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3961 E Lohman Ave Ste 33, Las Cruces, NM 88011 Phone: 575-556-0200 | |
Mrs. Heather A Lugo, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4391 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-522-2633 Fax: 575-522-2311 | |
Gayle Raye Bassett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1113 Berkshire Ct, Las Cruces, NM 88005 Phone: 575-496-3116 | |
Mrs. Sandra Avigail Angulo, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3751 Del Rey Blvd, Las Cruces, NM 88012 Phone: 575-382-3500 | |
Sylina Peterson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3964 Pacific Loop, Las Cruces, NM 88012 Phone: 575-635-1403 |