Active NPI
Daniel Leyva
- Substance Abuse Rehabilitation Facility
- Deerfield Beach, FL
National Provider Identifier
1790131167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- MH13526
- Practice address
- 1431 SW 9TH Ave
Deerfield Beach, FL 33441-6220 - Phone
- (954) 834-5099
- Fax
- (954) 834-5080
- NPI assigned
- May 4, 2016
- 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 |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | MH13526 | FL | Primary |
Addresses
Primary practice location
1431 SW 9TH Ave
Deerfield Beach, FL 33441-6220
Mailing address
10324 NW 51St St
Coral Springs, FL 33076-1743
Phone (954) 344-8967
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 |
|---|---|---|---|
| MH13526 | FL | MD | Substance Abuse Rehabilitation Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1790131167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10324 NW 51ST ST",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330761743",
"telephone_number": "954-344-8967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 SW 9TH AVE",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334416220",
"telephone_number": "954-834-5099",
"fax_number": "954-834-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEYVA",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-04",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "FL",
"license": "MH13526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.