Provider Demographics
NPI:1699856005
Name:PONTE, ENRIQUE NICANOR JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ENRIQUE
Middle Name:NICANOR
Last Name:PONTE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:112 CAMINO PENASCO
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3438
Mailing Address - Country:US
Mailing Address - Phone:915-833-8153
Mailing Address - Fax:915-933-5617
Practice Address - Street 1:10301 GATEWAY BLVD W
Practice Address - Street 2:DEL SOL MEDICAL CENTER
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7701
Practice Address - Country:US
Practice Address - Phone:915-595-9625
Practice Address - Fax:915-599-4015
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXH50332080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine