Individual provider Active NPI

Norberto E Leiva Luna

  • Family Nurse Practitioner
  • Valrico, FL
National Provider Identifier
1528860848
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
03250277 Issued in FL
Practice address
2107 Heritage Crest Dr
Valrico, FL 33594-5118
Phone
(813) 403-0781
NPI assigned
Mar 26, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 03250277 FL Primary

Addresses

Primary practice location

2107 Heritage Crest Dr
Valrico, FL 33594-5118

Mailing address

2107 Heritage Crest Dr
Valrico, FL 33594-5118
Phone (813) 403-0781

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
I20250611003780 FL Practitioner - Nurse Practitioner 7911417589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

13755 Golf Club Pkwy
Fort Myers, FL 33919-5146
Phone (239) 482-2848

1626 Davis Rd
West Palm Beach, FL 33406-5640
Phone (561) 439-8897

1700 Monroe Ave
Maitland, FL 32751-6672
Phone (407) 647-2092

1851 Elkcam Blvd
Deltona, FL 32725-3922
Phone (386) 789-3769

2020 W Lake Parker Dr
Lakeland, FL 33805-5005
Phone (863) 682-7580

3001 S Congress Ave
Boynton Beach, FL 33426-9012
Phone (561) 737-5600

3600 Old Boynton Rd
Boynton Beach, FL 33436-3912
Phone (561) 736-9992

375 NW 51 St
Boca Raton, FL 33431-4773
Phone (561) 997-8111

4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone (941) 625-3200

701 Victoria St
Brandon, FL 33510-4100
Phone (813) 681-4220

800 NW 95 St
Miami, FL 33150-2032
Phone (305) 836-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
03250277FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC Multi-Specialty CurrentSince Jun 13, 2025 Accepting new patients
Intensive Care Experts Health Network LLC Multi-Specialty CurrentSince Jun 13, 2025 Accepting new patients
Jayant C Gajera, M.D., P.a. Multi-Specialty Past Accepting new patients
Invictus Equity Group, LLC Multi-Specialty PastSince Jul 7, 2024 Accepting new patients

Locations

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1528860848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 HERITAGE CREST DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335945118",
            "telephone_number": "813-403-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 HERITAGE CREST DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335945118",
            "telephone_number": "813-403-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIVA LUNA",
        "first_name": "NORBERTO",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "03250277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

Verify at the official NPI Registry.