Individual
JUAN MANUEL LEYVA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
810 W OCEAN BLVD STE A1, LOS FRESNOS, TX 78566
(956) 233-3778
(956) 233-3779
Mailing address
5850 RUBEN TORRES SR BLVD STE C6-7, BROWNSVILLE, TX 78526-5203
(956) 831-0880
(956) 831-0815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP133980
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP133980
TX
Other
Enumeration date
06/12/2017
Last updated
06/28/2018
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