Individual
ILIANA LEYVA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5470 W 16TH AVE, HIALEAH, FL 33012-2105
(305) 456-2646
Mailing address
1401 NE 117 ST, NORTH MIAMI, FL 33161
(786) 224-1950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ9377
FL
Other
Enumeration date
09/21/2015
Last updated
10/09/2019
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