Lazaro A. Leon

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11014564 Issued in FL

Practice address

2821 NW 106TH St
Miami, FL 33147-1647

Phone

(786) 655-3394

NPI assigned

Mar 24, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

SJ Research Institute LLCGroup PAC ID 1052844701, 4 clinicians

Medisun Medical Center IncGroup PAC ID 6406395656, 4 clinicians

CMP Medical Center CorpGroup PAC ID 9133457401, 9 clinicians

Medisun 62 Medical Center LLCGroup PAC ID 7214287572, 6 clinicians

Sol Community Center, CorpGroup PAC ID 8325456593, 5 clinicians

Practice addresses (Care Compare)

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.

• CMP Medical Center Corp.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1578042610
  Medicare reassignment Care Compare group NPD
• Medisun 62 Medical Center LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1255834594
  Medicare reassignment Care Compare group NPD
• SJ Research Institute LLC

  • Psychiatry Physician
  • Miami, FL
  • NPI 1538857131
  Medicare reassignment Care Compare group NPD
• Sol Community Center, Corp

  • Community Health Clinic/Center
  • Miami, FL
  • NPI 1356942288
  Medicare reassignment Care Compare group NPD
• Medisun Medical Center Inc

  • Clinic/Center
  • North Miami, FL
  • NPI 1285480350
  Medicare reassignment Care Compare group
• Medisun Medical Center 2 Inc

  • Clinic/Center
  • Ft. Lauderdale, FL
  • NPI 1780406926
  Medicare reassignment NPD
• New Life Clinical Research Inc

  • Family Nurse Practitioner
  • Miami Lakes, FL
  • NPI 1396340576
  Medicare reassignment NPD
• Vitalicare Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cutler Bay, FL
  • NPI 1942003942
  NPD

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1124605571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 NW 106TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331471647",
            "telephone_number": "786-655-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 NW 106TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331471647",
            "telephone_number": "786-655-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "LAZARO",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11014564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katia Leon, DPM
• Kelly Leon
• Kimberly Leon
• Krista Leon
• Krystal Leon, APRN
• Lilliam Leon, APRN
• Lorena Alessandra Leon
• Madelyn Leon, RBT
• Marcia Leon
• Marie Leon, PMHNP- BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.