Provider Demographics
NPI:1447073440
Name:LEYVA, MELINDA (RPSGT, RRT-SDS)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:LEYVA
Suffix:
Gender:F
Credentials:RPSGT, RRT-SDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9054 S WHISPERING PINE DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-6174
Mailing Address - Country:US
Mailing Address - Phone:623-326-0465
Mailing Address - Fax:
Practice Address - Street 1:8505 E OCOTILLO DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-9670
Practice Address - Country:US
Practice Address - Phone:623-326-0465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic