Individual
DR. ILEANA MARIA LEYVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5420 NW 33RD AVE STE 100, FT LAUDERDALE, FL 33309-6348
(954) 486-4085
Mailing address
5420 NW 33RD AVE STE 100, FORT LAUDERDALE, FL 33309-6348
(954) 486-4085
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
ME130688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
BLUE CROSS GROUP NUMBER
IL
01
—
02232008
COMFORTLINK BLUE SHIELD G
IL
05
—
036089722
—
IL
01
—
1033149844
GROUP NPI NUMBER
IL
01
—
1922168129
NPI NUMBER
IL
01
—
36-4450982
COMFORTLINK TAX ID #
IL
01
—
363149833
CDPG TAX IDENTIFICAITON NUMBER
IL
01
—
3631498336019001
HFS GROUP PAYEE ID
IL
01
—
CA4748
RAILROAD MEDICARE GROUP PTAN
IL
01
—
L93363
PIN
IL
01
—
P00749841
RAILROAD MEDICARE PTAN
IL
Enumeration date
12/11/2006
Last updated
01/09/2019
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