Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Leticia Moedano, MD

Individual provider Family Medicine Physician · NPI 1831688647

Dr. Leticia Moedano, MD is a Family Practice in Santa Fe, New Mexico. Graduated from University of Arizona College of Medicine in 2018, 8 years ago. Practices with St Vincent Hospital, a 332-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and New Mexico.

Years since qualifying
8
Trained at
University of Arizona College of Medicine
Licensed in
AZ, NM
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2025 Galisteo St
Santa Fe, NM 87505-2101
Phone: (602) 655-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD2022-1484 (NM)
Family Medicine Physician Taxonomy 207Q00000X · Licence 63273 (AZ)

Record details

NPI number1831688647
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 7, 2018
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023
Mailing address2177 S 29th Ave, Yuma, AZ 85364-6042

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice St Vincent Hospital — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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