Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samuel Ponce Nandin, MD

Individual provider General Practice Physician · NPI 1124180054

Dr. Samuel Ponce Nandin, MD is a General Practice Physician in Goodyear, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13851 W La Mar Blvd Ste C
Goodyear, AZ 85338-1389
Phone: (623) 925-2622
Fax: (623) 925-9260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence AZ15582 (AZ)

Record details

NPI number1124180054
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 15, 2006
Last updated in NPPESJune 21, 2018

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