Provider Demographics
NPI:1235318866
Name:OJEDA, MARIA DEL CARMEN (LMT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:DEL CARMEN
Last Name:OJEDA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2114 WILLIAMSBRIDGE RD
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1600
Mailing Address - Country:US
Mailing Address - Phone:917-400-7234
Mailing Address - Fax:
Practice Address - Street 1:2114 WILLIAMSBRIDGE RD
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1600
Practice Address - Country:US
Practice Address - Phone:917-400-7234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016176-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist