Mariela Victoria Leyba, RDH
Individual provider Active NPI Dental Hygienist · Isleta, NM
NPI 1346504693 · NPPES record last updated Jul 2, 2012
Key facts
- NPI
- 1346504693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH3600 (NM)
- Practice address
- 01 Sagebrush Street
Isleta, NM 87022 - Phone
- (505) 238-2997
- NPI assigned
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH3600 | NM | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH3600 | NM | Yes |
Addresses
Primary practice location
01 Sagebrush Street
Isleta, NM 87022
Mailing address
P.O Box 640
Isleta, NM 87022
Phone (505) 869-3200
Other providers in Isleta, NM
- Stephen Hubbert
- Isleta Elderly Services
- Kissendrah Sue Johnson
- Shirley I Jojola
- Lisen A. Krueger
- Krystal Rachelle Lucero
- Christine M Murphy
- Erin R Nelson
- Riley Nelson
- Pueblo of Isleta
All providers in Isleta, NM · Dental Hygienist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.