Organization Active NPI

Retromoderno Primary Care Corp

  • Family Medicine Physician
  • Hialeah Gardens, FL
National Provider Identifier
1093639262
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RETROMODERNO PRIMARY CARE CORP
Practice address
8040 NW 95TH St Ste 109
Hialeah Gardens, FL 33016-2360
Phone
(786) 414-0990
Fax
(786) 558-5896
NPI assigned
Aug 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Authorized official

Name
Yuliet Varona Leyva, APRN, FNP-CNPI 1891678538
Title
Owner
Phone
(786) 414-0990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8040 NW 95TH St Ste 109
Hialeah Gardens, FL 33016-2360

Mailing address

8040 NW 95TH St Ste 109
Hialeah Gardens, FL 33016-2360
Phone (786) 414-0990

National Provider Directory

National Provider Directory
Tax ID family
Retromoderno Primary Care Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8040 NW 95th St
Ste 109
Hialeah Gardens, FL 33016
Phone (786) 414-0990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1786147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786147200000",
    "number": "1093639262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 NW 95TH ST STE 109",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162360",
            "telephone_number": "786-414-0990",
            "fax_number": "786-558-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 NW 95TH ST STE 109",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162360",
            "telephone_number": "786-414-0990",
            "fax_number": "786-558-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETROMODERNO PRIMARY CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-08",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A",
        "authorized_official_last_name": "VARONA LEYVA",
        "authorized_official_first_name": "YULIET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-414-0990",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.