Healthcare Provider Details

I. General information

NPI: 1487617262
Provider Name (Legal Business Name): MARGARITA ROSA OCHOA-MAYA MD,CDE,CCD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARITA ROSA OCHOA

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 06/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

196 BRIDGE ST SUITE 103
MANCHESTER NH
03104-4953
US

IV. Provider business mailing address

5 MERRIT PKWY SUITE 103
NASHUA NH
03062-3029
US

V. Phone/Fax

Practice location:
  • Phone: 603-801-3681
  • Fax:
Mailing address:
  • Phone: 603-801-3681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number151572
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME91007
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number13263
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: