Provider Demographics
NPI:1396857744
Name:OCANAS, LETICIA ADRIANA (MED)
Entity Type:Individual
Prefix:MS
First Name:LETICIA
Middle Name:ADRIANA
Last Name:OCANAS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 LINDBERG AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2928
Mailing Address - Country:US
Mailing Address - Phone:956-682-8800
Mailing Address - Fax:956-682-9464
Practice Address - Street 1:712 LINDBERG AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2928
Practice Address - Country:US
Practice Address - Phone:956-682-8800
Practice Address - Fax:956-682-9464
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8928101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional