Provider Demographics
NPI:1881850428
Name:ROMAN NIEVES, LEYDA MELENY (MD)
Entity Type:Individual
Prefix:DR
First Name:LEYDA
Middle Name:MELENY
Last Name:ROMAN NIEVES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:#33 CALLE FANTASIA
Mailing Address - Street 2:CUIDAD JARDIN URB LOS SUENOS
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-458-2419
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION EL RECREO
Practice Address - Street 2:CALLE RAFAEL ROSARIO ARROYO #46
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-852-1355
Practice Address - Fax:787-266-9782
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2020-04-07
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Provider Licenses
StateLicense IDTaxonomies
PR18286208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics