Victor De Leon

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11036657 Issued in FL

Practice address

12010 SW 106TH St
Miami, FL 33186-3810

Phone

(786) 378-0785

NPI assigned

Dec 21, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Public Health Trust of Miami Dade County Florida

  dba JMG Specialty Physicians

  • General Practice Physician
  • Miami, FL
  • NPI 1134384423

  Single Specialty

  Medicare reassignment NPD
• Public Health Trust of Dade County Florida

  dba JMG Specialty Physicians

  • Pediatric Cardiology Physician
  • Miami, FL
  • NPI 1447928452
  NPD
• Public Health Trust of Miami Dade County Florida

  • General Practice Physician
  • Hialeah, FL
  • NPI 1841149093
  NPD
• Public Health Trust of Dade County Florida

  dba JMG Specialty Physicians

  • Family Medicine Physician
  • Miami, FL
  • NPI 1902978695
  NPD (past)

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

{
    "created_epoch": "1734739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1083422075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12010 SW 106TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863810",
            "telephone_number": "786-378-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 SW 106TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863810",
            "telephone_number": "786-378-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "VICTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-21",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilin De Leon, D.O.
• Marta De Leon
• Michelle Nicole De Leon, O.D.
• Rolando J De Leon, M.D.
• Thelma L De Leon
• Christophe De Lespinasse
• Kristine Marie De Llanos, RN
• Amada De Loreta Pena Salso
• Yakeline Barbarita De Los Reyes
• Felipe De Los Rios la Rosa, MD

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.