Individual
JUAN LEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18782 NW 79TH CT, HIALEAH, FL 33015-5297
(786) 376-5234
Mailing address
18782 NW 79TH CT, HIALEAH, FL 33015-5297
(786) 376-5234
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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