Individual
DEYANIRA GONZALEZ LEIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14535 SW 105TH CT, MIAMI, FL 33176-7028
(305) 972-8029
Mailing address
14535 SW 105TH CT, MIAMI, FL 33176-7028
(305) 972-8029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11040004
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
11040004
FL
Other
Enumeration date
08/07/2025
Last updated
03/20/2026
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