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NPI Code Detail

MEDICARE: WILLIAM E. LEIVA

MEDICARE: WILLIAM E. LEIVA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorCAAP1238AFL

General Provider Information

NPI Number : 1194816603
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM E. LEIVA
Provider Business Mailing Address
First Line : 11031 NE 6TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33161-7182
Country : US
Telephone Number : 305-398-6100
Fax Number : 305-757-4465
Provider Business Practice Location Address
First Line : 1560 SW 1ST ST
Second Line :
City : MIAMI
State : FL
Zip : 33135-2103
Country : US
Telephone Number : 305-643-7788
Fax Number : 305-642-1184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 07/08/2007

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Directions to “ WILLIAM E. LEIVA ” Practice Location

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