Gloria Leavitt, M.D.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

15787 Issued in PR

Practice address

Private Mail Box # 353
35 JC de Borbon Suite 67
Guaynabo, PR 00969-5375

Phone

(787) 439-2154

Fax

(787) 758-5307

NPI assigned

Jun 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578767554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PRIVATE MAIL BOX # 353",
            "address_2": "35 JC DE BORBON SUITE 67",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695375",
            "telephone_number": "787-439-2154",
            "fax_number": "787-758-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRIVATE MAIL BOX # 353",
            "address_2": "35 JC DE BORBON SUITE 67",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695375",
            "telephone_number": "787-439-2154",
            "fax_number": "787-758-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "GLORIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PR",
            "license": "15787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neonatal-Perinatal Medicine Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Neonatal-Perinatal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.