Individual provider Active NPI

Reynaldo Leyva Infante, APRN

  • Family Nurse Practitioner
  • Weston, FL
National Provider Identifier
1306489661
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9402781 Issued in FL
Practice address
437 Lakeview Dr Apt 102
Weston, FL 33326-2449
Phone
(786) 484-4900
NPI assigned
Oct 18, 2019
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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 9402781 FL Primary

Addresses

Primary practice location

437 Lakeview Dr Apt 102
Weston, FL 33326-2449

Mailing address

437 Lakeview Dr Apt 102
Weston, FL 33326-2449
Phone (786) 484-4900

Other practice location 1

437 Lakeview Dr Apt 102
Weston, FL 33326-2449
Phone (786) 484-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9402781FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1306489661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 LAKEVIEW DR APT 102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262449",
            "telephone_number": "786-484-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 LAKEVIEW DR APT 102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262449",
            "telephone_number": "786-484-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "437 Lakeview Dr Apt 102",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333262449",
            "country_code": "US",
            "telephone_number": "786-484-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEYVA INFANTE",
        "first_name": "REYNALDO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9402781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.