Provider Demographics
NPI:1932251261
Name:OCHOA, DANIELA ALESSANDRA (MD)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:ALESSANDRA
Last Name:OCHOA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 CALGARY CV
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-5426
Mailing Address - Country:US
Mailing Address - Phone:956-645-8522
Mailing Address - Fax:
Practice Address - Street 1:4301 W. MARKHAM ST
Practice Address - Street 2:#725
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7199
Practice Address - Country:US
Practice Address - Phone:501-686-6504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK24550208600000X
ARE-6960208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery