DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LETICIA MOEDANO, MD

Active Sole Proprietor

DR. LETICIA MOEDANO, MD is a Family Medicine healthcare provider located in SANTA FE, New Mexico. NPI 1831688647 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SANTA FE, NM

Registration Details

NPI Number
1831688647
Provider Type
Individual
Gender
Female
NPI Issued
May 7, 2018 (8.2844073691338 yrs)
Last Updated
Jan 13, 2023
Licenses
63273 (AZ)
MD2022-1484 (NM)
Sole Proprietor
Yes

Practice Information

Address
2025 GALISTEO ST
SANTA FE, NM, 875052101
Browse NM providers · Browse ZIP 87505
Phone
6026556300
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in SANTA FE, NM

Name Credential NPI
DR. FREDERICK M KULLMAN M.D. 1649276981
JOHN E WARD JR. MD 1316945546
ELIZABETH A NEWMAN M.D. 1508865494
ROBERT VAN BLAKEBURN MD 1164419560
DEAN H BRANSON DO 1477541712
JULIE MARTINEZ MD 1598753782
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.