Organization Active NPI

Rizalina Leuterio MD P a

  • Family Medicine Physician
  • South Daytona, FL
National Provider Identifier
1275706822
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0061585 Issued in FL
Legal business name
RIZALINA LEUTERIO MD P A
Practice address
711 Beville Rd
South Daytona, FL 32119-1823
Phone
(386) 760-8116
Fax
(386) 760-0532
NPI assigned
Apr 3, 2008
Last updated
Oct 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Rizalina L Leuterio, M.D.,PA
Title
Dr / Owner
Phone
(386) 760-8116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0061585 FL Primary

Addresses

Primary practice location

711 Beville Rd
South Daytona, FL 32119-1823

Mailing address

711 Beville Rd
South Daytona, FL 32119-1823
Phone (386) 760-8116

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1275706822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BEVILLE RD",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191823",
            "telephone_number": "386-760-8116",
            "fax_number": "386-760-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BEVILLE RD",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191823",
            "telephone_number": "386-760-8116",
            "fax_number": "386-760-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIZALINA LEUTERIO MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "LEUTERIO",
        "authorized_official_first_name": "RIZALINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DR / OWNER",
        "authorized_official_telephone_number": "386-760-8116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0061585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.