Provider Demographics
NPI:1972887636
Name:LEYVA, ALINA (RPH)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:LEYVA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15122 SW 23RD WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5889
Mailing Address - Country:US
Mailing Address - Phone:786-282-9347
Mailing Address - Fax:305-644-4032
Practice Address - Street 1:1699 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3604
Practice Address - Country:US
Practice Address - Phone:786-282-9347
Practice Address - Fax:305-644-4037
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39608183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist