Dianalyn Escober De Leon, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2400 Kathleen Rd
Lakeland, FL 33810-3077

Phone

(863) 687-1302

NPI assigned

Aug 20, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Superior Care Rehab LLC

  • Physical Therapist
  • Naples, FL
  • NPI 1871033704
  NPD

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1144536756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 KATHLEEN RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338103077",
            "telephone_number": "863-687-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 KATHLEEN RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338103077",
            "telephone_number": "863-687-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "DIANALYN",
        "middle_name": "ESCOBER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustavo Alberto De Jesus-Gomez, M.D.
• Malena De la Concepcion Hernandez
• Giovaninna De la Cruz, MD
• Indira De la Paz
• Anna M De la Torre, CRNA
• Patricia De Leon, DO
• Jesse De Los Santos, M.D.
• Hank De Polo, DC
• Sarah De Soto, OD
• Amanda M Deal

• Student in an Organized Health Care Education/Training Program in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.