# DR. PAUL VILLANUEVA LEDESMA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1629056981
- **Gender:** Man
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 0695 | AZ | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0695 | AZ | Yes |

## Other

- **Enumeration date:** 01/06/2006
- **Last updated:** 10/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1629056981 | BCBS | AZ |
| 01 | — | 2558267 | UHC | AZ |
| 01 | — | 4849526 | CIGNA | AZ |
| 01 | — | 487680 | AHCCCS | AZ |
| 01 | — | 7488740 | AETNA | AZ |
| 01 | — | P00802418 | RAILROAD MEDICARE PTAN | — |