Individual provider Active NPI

Dalia Leyva Perez, FNP, APRN

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1194681809
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9532328 Issued in FL
Practice address
1700 SE Hillmoor Dr Ste 500
Port Saint Lucie, FL 34952-7536
Phone
(772) 873-1770
Fax
(877) 370-4364
NPI assigned
Dec 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9532328 FL Primary

Addresses

Primary practice location

1700 SE Hillmoor Dr Ste 500
Port Saint Lucie, FL 34952-7536

Mailing address

531 SW Butler Ave
Port St Lucie, FL 34983-8738
Phone (786) 499-1161

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dleyvaperez@convivaphysicians.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260507002352 FL Practitioner - Nurse Practitioner 3870061831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

1700 SE Hillmoor Dr
Suite 500
Port St Lucie, FL 34952-7536
Phone (772) 873-1781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9532328FLMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: dalia.leyva.perez.1@29601.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1766793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1194681809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 SW BUTLER AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838738",
            "telephone_number": "786-499-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR STE 500",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527536",
            "telephone_number": "772-873-1770",
            "fax_number": "877-370-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYVA PEREZ",
        "first_name": "DALIA",
        "credential": "FNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-27",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9532328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dleyvaperez@convivaphysicians.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1700 SE Hillmoor Dr Ste 500",
            "city": "Port Saint Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349527536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.