Individual provider Active NPI

Irina De Leon, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1003384298
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11000049 Issued in FL
Practice address
20503 SW 133Rd Ave
Miami, FL 33177-6170
Phone
(305) 726-6755
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11000049 FL Primary

Addresses

Primary practice location

20503 SW 133Rd Ave
Miami, FL 33177-6170

Mailing address

20503 SW 133Rd Ave
Miami, FL 33177-6170
Phone (305) 726-6755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190304001474 FL Practitioner - Nurse Practitioner 4082953344 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11000049FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Milton a Jimenez MD PA CurrentSince Jan 1, 2019 Accepting new patients
A a Cordero MD PA CurrentSince May 1, 2019 Accepting new patients
Cordero Health PA CurrentSince Jan 24, 2023 Accepting new patients

Locations

12973 SW 112th St
Miami, FL 33186
Phone (305) 204-7037

12002 SW 128th Ct
Ste 204
Miami, FL 33186
Phone (305) 234-8264

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

8500 SW 92nd St
Ste 102
Miami, FL 33156
Phone (786) 235-3700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1003384298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20503 SW 133RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776170",
            "telephone_number": "305-726-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20503 SW 133RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776170",
            "telephone_number": "305-726-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "IRINA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11000049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.