DR. ILEANA MARIA LEYVA (NPI# 1922168129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922168129 |
| Entity Type | Individual |
| Full Name | DR. ILEANA MARIA LEYVA |
| Credential | MD |
| Practice Address |
5420 Nw 33rd Ave Ste 100 Ft Lauderdale FL 33309-6348 |
| Mailing Address |
5420 Nw 33rd Ave Ste 100 Fort Lauderdale FL 33309-6348 |
| Practice Telephone | 9544864085 |
| Mailing Telephone | 9544864085 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080H0002X |
Pediatrics Specialization: Hospice and Palliative Medicine |
ME130688 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036089722 | 05 | |
| IL | PIN | L93363 | 01 |
| IL | NPI NUMBER | 1922168129 | 01 |
| IL | GROUP NPI NUMBER | 1033149844 | 01 |
| IL | COMFORTLINK BLUE SHIELD G | 02232008 | 01 |
| IL | COMFORTLINK TAX ID # | 36-4450982 | 01 |
| IL | CDPG TAX IDENTIFICAITON NUMBER | 363149833 | 01 |
| IL | BLUE CROSS GROUP NUMBER | 0222075 | 01 |
| IL | HFS GROUP PAYEE ID | 3631498336019001 | 01 |
| IL | RAILROAD MEDICARE PTAN | P00749841 | 01 |
| IL | RAILROAD MEDICARE GROUP PTAN | CA4748 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073144606 | Ileana Lucia Leyva | Nurse Practitioner | 234 W 31st St, Hialeah, FL 33012-5314 | 2020-02-02 |
| Street Address |
5420 NW 33RD AVE STE 100 |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33309-6348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
| 1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
| 1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
| 1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
| 1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
| 1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
| Find all providers in zip 33309 | ||||
| Taxonomy Code | 2080H0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Hospice and Palliative Medicine |
| A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861694713 | Jaykumar M Pattani | Pediatrics | 2808 Scott Mill Ter, Jacksonville, FL 32257-5756 | 2007-06-04 |
| 1407069412 | James Sorger | Pediatrics | 4793 Esedra Ct, 304, Lake Worth, FL 33467-5076 | 2007-05-07 |
| 1326251596 | Sunlife Pediatric Network Inc | Pediatrics | 10051 Pines Blvd Ste A, Pembroke Pines, FL 33024-6187 | 2007-05-07 |
| 1518089945 | Gentle Medicine Associates | Pediatrics | 202 Se 23rd Ave, Boynton Beach, FL 33435-7620 | 2007-04-05 |
| 1679532717 | Robert Owen Bash Jr. | Pediatrics | 12470 Telecom Dr, Suite 300 West, Temple Terrace, FL 33637-0904 | 2006-03-18 |
| 1881128171 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Palliative Care Medicine- 3rd Floor- Suite 6-74, Miami, FL 33155 | 2017-04-13 |
| 1164860987 | Family First Pediatrics P A | Pediatrics | 1049 Willa Springs Dr, Suite 1031, Winter Springs, FL 32708-5246 | 2013-06-14 |
| 1518106400 | Elizabeth Annabelle Persad | Pediatrics | 655 W 8th St, Jacksonville, FL 32209-6511 | 2009-02-17 |
| 1932393717 | Community Hospice of Northeast Florida Inc | Pediatrics | 4266 Sunbeam Rd, Jacksonville, FL 32257-6030 | 2007-09-05 |
| City | FT LAUDERDALE |
| Zip Code | 33309 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.