Provider Demographics
NPI:1992090708
Name:LEAL, JANETTE COELHO (MD)
Entity type:Individual
Prefix:DR
First Name:JANETTE
Middle Name:COELHO
Last Name:LEAL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 CAPO SAN VITO AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-3945
Mailing Address - Country:US
Mailing Address - Phone:786-554-8954
Mailing Address - Fax:
Practice Address - Street 1:1951 CAPO SAN VITO AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-3945
Practice Address - Country:US
Practice Address - Phone:786-554-8954
Practice Address - Fax:702-745-0546
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN614042084P0800X
WAMD613404162084P0800X
VA01012804422084P0800X
NC2024-010182084P0800X, 2084P0805X
MI43015110052084P0800X
TN708442084P0800X
ORMD2133102084P0800X
IAR-92912084P0800X, 207R00000X
NV220942084P0800X
CODR.00742112084P0800X
AK2232272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine