Organization Active NPI

Carlos a Leyva Jordan LLC

  • Pediatric Endocrinology Physician
  • Bayamon, PR
National Provider Identifier
1437747714
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
Legal business name
CARLOS A LEYVA JORDAN LLC
Practice address
1845 Carr 2
Suite 213 Bayamon Medical Plaza
Bayamon, PR 00959
Phone
(787) 622-8451
Fax
(787) 622-8453
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Dr. Carlos Alberto Leyva, MDNPI 1437353356
Title
Pediatric Endocrinologist
Phone
(787) 679-3161

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
Pediatric Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0205X Primary

Addresses

Primary practice location

1845 Carr 2
Suite 213 Bayamon Medical Plaza
Bayamon, PR 00959

Mailing address

1845 Carr 2
Suite 213 Bayamon Medical Plaza
Bayamon, PR 00959
Phone (787) 622-8451

Other names 1

  • Centro de Diabetes y Endocrinologia Pediatrica de Puerto Rico Other name

National Provider Directory

National Provider Directory

Locations

1845 Carr 2
Ste 213
Bayamon, PR 00959
Phone (787) 622-8451

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": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1437747714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 CARR 2",
            "address_2": "SUITE 213 BAYAMON MEDICAL PLAZA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-622-8451",
            "fax_number": "787-622-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CARR 2",
            "address_2": "SUITE 213 BAYAMON MEDICAL PLAZA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-622-8451",
            "fax_number": "787-622-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS A LEYVA JORDAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "LEYVA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PEDIATRIC ENDOCRINOLOGIST",
        "authorized_official_telephone_number": "787-679-3161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Diabetes y Endocrinologia Pediatrica de Puerto Rico",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.