Active NPI
Mirima Leyva
- Pharmacist
- Doral, FL
National Provider Identifier
1881943355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS49629
- Practice address
- 10505 NW 41St St
Doral, FL 33178-4289 - Phone
- (305) 591-2640
- Fax
- (305) 591-4428
- NPI assigned
- Aug 30, 2012
- Last updated
- Aug 30, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS49629 | FL | Primary |
Addresses
Primary practice location
10505 NW 41St St
Doral, FL 33178-4289
Mailing address
1756 N Bayshore Dr Apt 22K
Miami, FL 33132-1177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021433700 | Medicaid | FL |
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 |
|---|---|---|---|
| PS49629 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1881943355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1756 N BAYSHORE DR APT 22K",
"city": "MIAMI",
"state": "FL",
"postal_code": "331321177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10505 NW 41ST ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331784289",
"telephone_number": "305-591-2640",
"fax_number": "305-591-4428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEYVA",
"first_name": "MIRIMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021433700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
- Leyani Perez NP,Corp (El Consultorio de Leyani)
- Alberto Leyva Hernandez, CBHCM-S
- Carlos Enrique Leyva Jorge, RBT
- Idalmis Leyva Rosales, LMHC
- Araceli Leyva
- Monica Leyva, M.S., CCC-SLP
- Yadiana Eva Leyva, RRT
- LHC Miami Home Health, LLC (ALC Home Health)
- Elisabeth M Lherisson, ARNP
- Jacqueline Sonja Liberman, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.