Individual
MS. LUCIA VERONICA LEIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 585-1111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9365558
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9365558
FL
Other
Enumeration date
05/16/2018
Last updated
10/17/2025
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