Provider Demographics
NPI:1841930070
Name:MOYA LEDESMA, MARIA G (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:G
Last Name:MOYA LEDESMA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. MARBELLA, 78 CALLE CORDOBA
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603
Mailing Address - Country:US
Mailing Address - Phone:787-237-9725
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL SCIENCES CAMPUS, DR. GUILLERMO ARBONA BUILDING
Practice Address - Street 2:SAN JUAN MEDICAL CENTER, BARRIO MONACILLOS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-5067
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program