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NPI Code Detail

MEDICARE: DENISE LEYVA MONTES

MEDICARE: DENISE LEYVA MONTES
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
1163W00000XRegistered Nurse95430084CA

General Provider Information

NPI Number : 1225991235
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE LEYVA MONTES
Provider Business Mailing Address
First Line : 1196 THIRD AVE
Second Line :
City : CHULA VISTA
State : CA
Zip : 91911-3131
Country : US
Telephone Number : 619-427-7466
Fax Number :
Provider Business Practice Location Address
First Line : 1196 THIRD AVE
Second Line :
City : CHULA VISTA
State : CA
Zip : 91911-3131
Country : US
Telephone Number : 619-427-7466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/08/2025

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