MEDICARE: LETICIA GARCIA DINIEGA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD9169	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356412944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LETICIA GARCIA DINIEGA MD

Provider Business Mailing Address
First Line	:	91-2139 FORT WEAVER RD
Second Line	:	STE 201
City	:	EWA BEACH
State	:	HI
Zip	:	96706-3608
Country	:	US
Telephone Number	:	808-678-0878
Fax Number	:	808-678-0818

Provider Business Practice Location Address
First Line	:	91-2139 FORT WEAVER RD
Second Line	:	STE 201
City	:	EWA BEACH
State	:	HI
Zip	:	96706-3608
Country	:	US
Telephone Number	:	808-678-0878
Fax Number	:	808-678-0818

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	04/05/2018

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