Healthcare Provider Details

I. General information

NPI: 1679153761
Provider Name (Legal Business Name): LEYANIS DELGADO NEMER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18610 NW 87TH AVE STE 101
MIAMI GARDENS FL
33015-3519
US

IV. Provider business mailing address

18610 NW 87TH AVE STE 101
MIAMI GARDENS FL
33015-3519
US

V. Phone/Fax

Practice location:
  • Phone: 305-930-3811
  • Fax: 866-920-0585
Mailing address:
  • Phone: 305-930-3811
  • Fax: 866-920-0585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11012354
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: