Healthcare Provider Details

I. General information

NPI: 1902748361
Provider Name (Legal Business Name): MIKAELA C PONCA-MONTOYA CCSS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MIKI PONCA-MONTOYA CCSS

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 FRANKLIN AVE APT A
SANTA FE NM
87505-1058
US

IV. Provider business mailing address

617 FRANKLIN AVE APT A
SANTA FE NM
87505-1058
US

V. Phone/Fax

Practice location:
  • Phone: 505-490-3379
  • Fax:
Mailing address:
  • Phone: 505-490-3379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: