Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LEIDY RIVERO CARVAJAL
NPI 1063217222
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL

Active since February 13, 2025
3621 SW 107TH AVE, MIAMI, FL 33165(786) 534-8366 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2026, Aug 4, 2026, Feb 13, 2025 (3 updates tracked since 2025).

About Leidy Rivero Carvajal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEIDY RIVERO CARVAJAL (NPI 1063217222) is an individual psychiatric/mental health provider in Miami, Florida, licensed in Florida (11049806) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1063217222
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLEIDY RIVERO CARVAJAL
Location Address3621 SW 107TH AVEMiami, FL 33165-3636
Mailing Address14740 Sw 284th StHomestead, FL 33033-1528
Sole ProprietorYes
Enumeration DateFebruary 13, 2025
Last NPPES UpdateOctober 14, 20263 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1063217222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 11049806
Also ListedBehavior TechnicianTaxonomy 106S00000X
3621 SW 107TH AVE, Miami, FL 33165

Accepted Insurance

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
3621 SW 107TH AVE
MIAMI, FL 33165
Nurse Practitioner (Psychiatric/Mental Health)
3621 SW 107TH AVE
MIAMI, FL 33165
Clinic/Center (Physical Therapy)
3621 SW 107TH AVE
MIAMI, FL 33165
Counselor (Mental Health)
3621 SW 107TH AVE
MIAMI, FL 33165
Nurse Practitioner (Psychiatric/Mental Health)
3621 SW 107TH AVE
MIAMI, FL 33165
Counselor (Mental Health)
3621 SW 107TH AVE
MIAMI, FL 33165
Occupational Therapist
3621 SW 107TH AVE
MIAMI, FL 33165
Clinic/Center (Mental Health (Including Community Mental Health Center))
3621 SW 107TH AVE
MIAMI, FL 33165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leidy Rivero Carvajal's NPI number?

The NPI number for Leidy Rivero Carvajal is 1063217222. It was assigned to this individual provider in the NPPES registry on February 13, 2025.

Where is Leidy Rivero Carvajal located?

Leidy Rivero Carvajal practices at 3621 SW 107th Ave, Miami, FL 33165. The listed phone number is (786) 534-8366.

What is Leidy Rivero Carvajal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Leidy Rivero Carvajal accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Leidy Rivero Carvajal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leidy Rivero Carvajal was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.