Individual provider Active NPI

Lirian Del Carmen Leyva Reyes, MD

  • General Practice Physician
  • North Miami, FL
National Provider Identifier
1841871019
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1476 Issued in FL
Practice address
428 NE 125TH St
North Miami, FL 33161-4717
Phone
(305) 570-0012
Fax
(786) 522-9352
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1476 FL Primary

Addresses

Primary practice location

428 NE 125TH St
North Miami, FL 33161-4717

Mailing address

428 NE 125TH St
North Miami, FL 33161-4717
Phone (305) 570-0012

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221014002009 FL Practitioner - General Practice 6204202351 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
BKB Med LLC CurrentSince Oct 6, 2022 Accepting new patients
Clinica Las Mercedes, LLC CurrentSince Apr 1, 2024 Accepting new patients
Clinica Las Mercedes, LLC General Practice CurrentSince Apr 1, 2024 Accepting new patients

Locations

290 NE 8th St
Homestead, FL 33030
Phone (305) 537-4777

1479 NW 27th Ave
Miami, FL 33125
Phone (305) 633-3776

13814 SW 152nd St
Miami, FL 33177
Phone (305) 238-2262

428 NE 125th St
North Miami, FL 33161
Phone (305) 570-0012

6355 NW 36th St
Ste 1100
Virginia Gardens, FL 33166

Organizations & group practices 3

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1841871019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614717",
            "telephone_number": "305-570-0012",
            "fax_number": "786-522-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614717",
            "telephone_number": "305-570-0012",
            "fax_number": "786-522-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYVA REYES",
        "first_name": "LIRIAN",
        "middle_name": "DEL CARMEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.