Provider Demographics
NPI:1013038579
Name:BUENVIAJE, LEONIDA S (RN)
Entity Type:Individual
Prefix:MRS
First Name:LEONIDA
Middle Name:S
Last Name:BUENVIAJE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 MORSE AVE
Mailing Address - Street 2:SPC 37
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94089-1611
Mailing Address - Country:US
Mailing Address - Phone:408-752-0998
Mailing Address - Fax:
Practice Address - Street 1:1111 MORSE AVE
Practice Address - Street 2:SPC 37
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94089-1611
Practice Address - Country:US
Practice Address - Phone:408-752-0998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA452576163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult