Individual
DINA LEYBA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 CERRILLOS RD, SANTA FE, NM 87505-3377
(505) 438-0010
Mailing address
2325 CERRILLOS RD, SANTA FE, NM 87505-3377
(505) 438-0010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0000000000
NM
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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