IRVIN IVAN LEAL (NPI# 1558950568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558950568 |
| Entity Type | Individual |
| Full Name | IRVIN IVAN LEAL |
| Gender | Male |
| Practice Address | 4021 Broadway San Antonio TX 78209-6313 |
| Practice Telephone | 2108240515 |
| Mailing Address | 4021 Broadway San Antonio TX 78209-6313 |
| Mailing Telephone | 2108240515 |
| Certification Date | 2021-01-14 |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | Pharmacy Service Providers |
| Street Address | 4021 BROADWAY |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-6313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265860159 | Andrew Martin Pratt | Physician Assistant | 4045 Broadway St, San Antonio, TX 78209-6313 | 2013-10-31 |
| 1851586549 | Marvin Daniel Abney | Psychologist · Clinical | 4057 Broadway St, San Antonio, TX 78209-6313 | 2007-09-06 |
| 1831295419 | Susan Rhodes Blake | Counselor · Mental Health | 4067 Broadway St, San Antonio, TX 78209-6313 | 2006-09-15 |
| 1518471051 | Esther G Castro | Social Worker · Clinical | 4045 Broadway St, San Antonio, TX 78209-6313 | 2017-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia · Ashley L Rodriguez | Physician Assistant · Surgical | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs · Julieta Rubio Hobbs | Counselor · Mental Health | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144819574 | Samantha Guerrero | 12777 W Ih 10, San Antonio, TX 78230-1014 | 2021-01-11 | |
| 1871182253 | Lori Ann Franco | 4821 Broadway, San Antonio, TX 78209-5703 | 2021-01-11 | |
| 1235735507 | Cody Hanover | 704 S Santa Rosa, San Antonio, TX 78204 | 2020-12-10 | |
| 1154799880 | Janet Castro | 1452 Delgado St, San Antonio, TX 78207-1946 | 2015-09-11 | |
| 1215200605 | Daniel Glassman | 6746 Biscay Bay, Suite 101, San Antonio, TX 78249-2573 | 2012-02-15 | |
| 1093098485 | Indhira A. Oliveras | 1052 Ave General Ramey, San Antonio, PR 00690-1204 | 2011-09-22 | |
| 1326353558 | Bianca Nicole Hernandez | 108 N Rosillo, San Antonio, TX 78207 | 2010-08-12 | |
| 1376857813 | David Liendo | 646 S Flores St, San Antonio, TX 78204-1219 | 2010-07-26 | |
| 1598975294 | Lourdes Hernandez | Ave.general Ramey #1052, Poblado San Antonio, San Antonio, PR 00690 | 2007-05-23 | |
| 1487654208 | Edwin Fernando Blanco-Ceped | 7979 Wurzbach Rd, Ste G354, Investigational Drug Section, San Antonio, TX 78229 | 2005-07-22 | |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336285972 | Ivan A Enriquez Leal | Internal Medicine | C-O 350 Engle Street, Englewood, NJ 07631 | 2007-01-30 |
| 1033746912 | Philip Matthew Leal · Phil Leal | Social Worker · Clinical | 1213 Sabine St, Austin, TX 78701-1917 | 2020-03-23 |
| 1861533200 | Joyce Leal · Jamie Leal | Counselor | 10001 S Pennsylvania, P 107, Oklahoma City, OK 73159 | 2007-02-09 |
| 1528480837 | Usrc Bryant Irvin, LLC · U.S. Renal Care Tarrant Diaysis Bryant Irvin | Clinic/Center · End-Stage Renal Disease (ESRD) Treatment | 5729 Bryant Irvin Rd, Fort Worth, TX 76132 | 2014-01-07 |
| 1992158570 | Jennifer Leal · Jennie Leal | Marriage & Family Therapist | 37 Auburn Ave Ste 1, Sierra Madre, CA 91024-1846 | 2016-07-19 |
| 1053852707 | Manuel Julio Leal Sr. · Manny J Leal Sr. | Pharmacist | 100 Ne 183rd St, Miami, FL 33179-4431 | 2017-03-14 |
| 1750729935 | Bryant Irvin Health Services Inc · Bryant Irvin Hearing Center | Hearing Aid Equipment | 4601 Bryant Irvin Rd, 121, Fort Worth, TX 76132-3688 | 2013-06-10 |
| 1356559306 | Joyce Adams Leal Inc · Jamie Leal Or The Assessment Center | Counselor · Addiction (Substance Use Disorder) | 10001 S Pennsylvania, P-107, Oklahoma City, OK 73159 | 2007-05-21 |
| 1962859298 | Joanna Leal · Joanna Leal Bcba | Behavior Analyst | 16792 Talisman Ln Apt 205, Huntington Beach, CA 92649-3118 | 2016-05-17 |
| 1649627613 | Inez Leal Elder · Inez Celestina Leal | Family Medicine · Hospice and Palliative Medicine | 3000 N Interstate 35, Denton, TX 76201-5119 | 2016-05-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.