Active NPI
Juan Ruben Leon, MD,SA-C
- Surgical Assistant
- Fort Lauderdale, FL
National Provider Identifier
1093048308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 09-245
- Practice address
- 1995 E Oakland Park Blvd Ste 250
Fort Lauderdale, FL 33306-1149 - Phone
- (786) 234-7427
- NPI assigned
- Sep 18, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 09-245 | FL | Primary |
Addresses
Primary practice location
1995 E Oakland Park Blvd Ste 250
Fort Lauderdale, FL 33306-1149
Mailing address
1540 NE 191St St Apt 308
North Miami Beach, FL 33179-4108
Phone (786) 234-7427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09-245 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1093048308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 NE 191ST ST APT 308",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331794108",
"telephone_number": "786-234-7427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 E OAKLAND PARK BLVD STE 250",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061149",
"telephone_number": "786-234-7427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "JUAN",
"middle_name": "RUBEN",
"name_prefix": "Dr.",
"credential": "MD,SA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-18",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "09-245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.