Active NPI
Leisy Veliz Borges
- Dentist
- Tampa, FL
National Provider Identifier
1558056143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31214
- Practice address
- 3422 W Aileen St
Tampa, FL 33607-1814 - Phone
- (786) 253-3052
- NPI assigned
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 31214 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 2578 | FL |
Addresses
Primary practice location
3422 W Aileen St
Tampa, FL 33607-1814
Mailing address
3422 W Aileen St
Tampa, FL 33607-1814
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31214 | FL | MD | Dentist |
| 2578 | FL | MD | Student in an Organized Health Care Education/Training Program |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1558056143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3422 W AILEEN ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336071814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3422 W AILEEN ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336071814",
"telephone_number": "786-253-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELIZ BORGES",
"first_name": "LEISY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "31214",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "2578",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.