Individual provider Active NPI

Deyanira Gonzalez Leiva

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1255216461
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11040004 Issued in FL
Practice address
14535 SW 105TH CT
Miami, FL 33176-7028
Phone
(305) 972-8029
NPI assigned
Aug 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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 11040004 FL Primary

Addresses

Primary practice location

14535 SW 105TH CT
Miami, FL 33176-7028

Mailing address

14535 SW 105TH CT
Miami, FL 33176-7028
Phone (305) 972-8029

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
I20260330004042 FL Practitioner - Nurse Practitioner 3870078686 Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Miami, FL 33176
Phone (305) 972-8029

7990 SW 117TH Ave
Suite 109
Miami, FL 33183-3845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11040004FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1255216461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 SW 105TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767028",
            "telephone_number": "305-972-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 SW 105TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767028",
            "telephone_number": "305-972-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ LEIVA",
        "first_name": "DEYANIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11040004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.