Leyva, Ileana Maria

Leyva, Ileana Maria is an sole proprietor health care provider with primary practice located at 5420 Nw 33Rd Ave Ste 100 , Ft Lauderdale FL 33309-6348. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Leyva, Ileana Maria can be contacted via phone (954) 486-4085.

Contact Information

Primary practice address
5420 Nw 33Rd Ave Ste 100 Ft Lauderdale FL 33309-6348
Phone: (954) 486-4085
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X ME130688 Florida

Profile Details

NPI number 1922168129
LBN Legal business name Leyva, Ileana Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Jan 9th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922168129 NPPES
Illinois MEDICAID 036089722
Illinois Other 363149833
Illinois Other CA4748
Illinois Other L93363
Illinois Other 36-4450982
Illinois Other 0222075
Illinois Other 02232008
Illinois Other 1033149844
Illinois Other 3631498336019001
Illinois Other 1922168129
Illinois Other P00749841

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