MEDICARE: DALIA LEYVA PEREZ FNP, APRN

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
1	363LF0000X	Family Nurse Practitioner	9532328	FL

General Provider Information

NPI Number	:	1194681809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DALIA LEYVA PEREZ FNP, APRN

Provider Business Mailing Address
First Line	:	531 SW BUTLER AVE
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34983-8738
Country	:	US
Telephone Number	:	786-499-1161
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 SE HILLMOOR DR STE 500
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-7536
Country	:	US
Telephone Number	:	772-873-1770
Fax Number	:	877-370-4364

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2025
Last Update Date	:	05/06/2026

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