NPIMap

Individual provider Active NPI

Liana Ponce, MD

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1881851343
Registry record updated Oct 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
207Q00000X Issued in NM
Practice address
2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone
(505) 873-7400
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 207Q00000X NM Primary

Addresses

Primary practice location

2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105-4592

Mailing address

2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105-4592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120806000409 NM Practitioner - Family Practice 6204082316 Reassigns benefits to 1 organization
I20180327000212 TX Practitioner - Family Practice 6204082316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

5 Petroglyph Cir
Suite a
Santa Fe, NM 87506-1001
Phone (505) 455-1962

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207Q00000XNMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Hospital Current Accepting new patients
St. Vincent Hospital CurrentSince Nov 11, 2019 Accepting new patients
Kewa Pueblo Health Corporation CurrentSince Mar 5, 2018 Accepting new patients
St. Vincent Hospital Family Medicine Current Accepting new patients
St. Vincent Hospital Family Medicine CurrentSince Nov 11, 2019 Accepting new patients
New Mexico Heart Institute, LLC PastSince Apr 19, 2016 Accepting new patients
Kewa Pueblo Health Corporation Past Accepting new patients

Locations

5501 Herrera Dr
#A
Santa Fe, NM 87507
Phone (505) 913-3233

5 Petroglyph Cir
Ste A
Santa Fe, NM 87506
Phone (505) 455-1962

5501 Herrera Dr
Santa Fe, NM 87507
Phone (505) 913-3233

490A W Zia Rd
Ste 100
Santa Fe, NM 87505
Phone (505) 913-5312

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

85 W Highway 22
Santo Domingo Pueblo, NM 87052
Phone (505) 465-3060

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319328000000",
    "number": "1881851343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 EL CENTRO FAMILIAR BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 EL CENTRO FAMILIAR BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054592",
            "telephone_number": "505-873-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "LIANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2011-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "207Q00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.