Provider Demographics
NPI:1689689002
Name:LLEVA ENTERPRISES, INC
Entity Type:Organization
Organization Name:LLEVA ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDIULYS
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-306-9345
Mailing Address - Street 1:2040 NE 163RD ST
Mailing Address - Street 2:SUITE 202E
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4951
Mailing Address - Country:US
Mailing Address - Phone:305-957-7299
Mailing Address - Fax:305-957-7295
Practice Address - Street 1:2040 NE 163RD ST
Practice Address - Street 2:SUITE 202E
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4951
Practice Address - Country:US
Practice Address - Phone:305-957-7299
Practice Address - Fax:305-957-7295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies