Active NPI
Yadian Santiesteban Leyva
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1669057477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11011989
- Practice address
- 9611 SW 40TH St
Miami, FL 33165-4030 - Phone
- (788) 622-3960
- Fax
- (447) 888-4001
- NPI assigned
- Mar 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11011989 | FL | Primary |
Addresses
Primary practice location
9611 SW 40TH St
Miami, FL 33165-4030
Mailing address
9611 SW 40TH St
Miami, FL 33165-4030
Phone (786) 622-3960
Other practice location 1
3824 W 12th Ave
Hialeah, FL 33012-4127
Phone (786) 622-3960
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11011989 | FL | MD | Family Nurse Practitioner |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Miami, FL
- NPI 1396342069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1669057477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9611 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331654030",
"telephone_number": "786-622-3960",
"fax_number": "447-888-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9611 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331654030",
"telephone_number": "788-622-3960",
"fax_number": "447-888-4001"
}
],
"practiceLocations": [
{
"address_1": "3824 W 12th Ave",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330124127",
"country_code": "US",
"telephone_number": "786-622-3960",
"fax_number": "447-888-4001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIESTEBAN LEYVA",
"first_name": "YADIAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-12",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11011989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.