Organization Active NPI

Leticia Comprehensive Care LLC

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1518859735
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LETICIA COMPREHENSIVE CARE LLC
Practice address
14750 NW 77TH CT Ste 304D
Hialeah, FL 33016-1537
Phone
(305) 203-4060
Fax
(305) 938-8044
NPI assigned
Jul 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Leticia Gutierrez Reyes, ARNP
Title
Owner
Phone
(305) 203-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14750 NW 77TH CT Ste 304D
Hialeah, FL 33016-1537

Mailing address

14750 NW 77TH CT Ste 304D
Hialeah, FL 33016-1537
Phone (305) 203-4060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260602000692 FL Part B Supplier - Clinic/Group Practice 9931670833 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Locations

14750 NW 77th Ct
Ste 304D
Hialeah, FL 33016
Phone (305) 203-4060

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": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1518859735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 304D",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161537",
            "telephone_number": "305-203-4060",
            "fax_number": "305-938-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 304D",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161537",
            "telephone_number": "305-203-4060",
            "fax_number": "305-938-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETICIA COMPREHENSIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "GUTIERREZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-203-4060",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.