Carmen M De Leon-Martinez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13338 Issued in PR

Practice address

18610 NW 87TH Ave Ste 101
Hialeah, FL 33015-3519

Phone

(305) 829-5000

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carmen De Leon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Broward Community and Family Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Hollywood, FL
  • NPI 1730121435
  NPD
• Centro de Servicios Medicos Integrados

  • Clinic/Center
  • Bayamon, PR
  • NPI 1619048006
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1134198112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 HOLLYWOOD BLVD 100B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216557",
            "telephone_number": "954-967-0028",
            "fax_number": "954-967-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 NW 87TH AVE STE 101",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153519",
            "telephone_number": "305-829-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON-MARTINEZ",
        "first_name": "CARMEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "13338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "DE LEON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Yraimyth Martha De la Vega, APRN
• Leticia De Lapeyra
• Mairo Alejandro De Leon Acosta
• Liz Dainet De Leon Gonzalez, RBT-23-293145
• Dairis De Leon Ibarra
• Dalila De Leon
• Raiza De Leon, R.N
• Leydis De Los Reyes
• Rocio De Los Rios, DDS
• America Beatriz De Quesada Diaz

• Family Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.