Provider Demographics
NPI:1487617262
Name:OCHOA-MAYA, MARGARITA ROSA (MD,CDE,CCD)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:ROSA
Last Name:OCHOA-MAYA
Suffix:
Gender:F
Credentials:MD,CDE,CCD
Other - Prefix:
Other - First Name:MARGARITA
Other - Middle Name:ROSA
Other - Last Name:OCHOA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 MERRIT PKWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-3029
Mailing Address - Country:US
Mailing Address - Phone:603-801-3681
Mailing Address - Fax:
Practice Address - Street 1:196 BRIDGE ST
Practice Address - Street 2:SUITE 103
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-4953
Practice Address - Country:US
Practice Address - Phone:603-801-3681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA151572207RE0101X
FLME91007207RE0101X
NH13263207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAG33794Medicare UPIN
MAA21632Medicare ID - Type Unspecified