Healthcare Provider Details

I. General information

NPI: 1114836889
Provider Name (Legal Business Name): LEDA MARIA MORENO REGALADO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8651 NW 13TH TER
DORAL FL
33126-1512
US

IV. Provider business mailing address

10800 NW 7TH ST APT 5A
MIAMI FL
33172-3792
US

V. Phone/Fax

Practice location:
  • Phone: 305-470-4530
  • Fax: 305-470-4532
Mailing address:
  • Phone: 954-908-9112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS71082
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: