Carlos Enrique Leiva

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11003521 Issued in FL

Practice address

206 SW 76TH Ave
Miami, FL 33144-2426

Phone

(786) 366-1153

NPI assigned

Jul 29, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Florida Pulmonary and Critical Care Associates PAGroup PAC ID 6901993054, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carlos.leiva.p1@direct.vivamasmedical.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Florida Pulmonary & Critical Care Associates P.a.

  • Pulmonary Disease Physician
  • Miami, FL
  • NPI 1205834710
  Medicare reassignment Care Compare group NPD
• Pulmonary Physicians of South Florida LLC

  • Pulmonary Disease Physician
  • Miami, FL
  • NPI 1902892060
  Medicare reassignment NPD
• Leiva Medical Aprn LLC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1578221057
  Authorized official Same address or phone
• Gables Medical Center Inc

  • Internal Medicine Physician
  • Coral Gables, FL
  • NPI 1821440363
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1003460999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SW 76TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442426",
            "telephone_number": "786-366-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SW 76TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442426",
            "telephone_number": "786-366-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIVA",
        "first_name": "CARLOS",
        "middle_name": "ENRIQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anisley Leiva Puebla
• Leyla Ochun Leiva Rodriguez
• Keren Milena Leiva Romero
• Maylett Leiva Santana, FNP
• Miguel Leiva Vargas
• Dinaisis Leiva, BA
• Eduardo Esteban Leiva
• Julie Destiny Leiva, RBT
• Lucia Veronica Leiva
• Mirentxu Leiva, PSYD

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.