Lester de Leon MD PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME111208 Issued in FL

Legal business name

LESTER DE LEON MD PA

Practice address

4155 SW 136TH Ave
Miami, FL 33175-3253

Phone

(786) 536-7614

NPI assigned

Feb 23, 2012

Organization subpart

No

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

Authorized official

Name

Lester De Leon, MDNPI 1912135419

Title

President

Phone

(786) 259-5449

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lester Manuel De Leon, M.D.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1912135419
  Medicare reassignment NPD Authorized official
• Paul Eric Jacobsen, D.O.

  • Family Medicine Physician
  • North Miami Beach, FL
  • NPI 1982631404
  NPD (past)

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1164796090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 SW 136TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 SW 136TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753253",
            "telephone_number": "786-536-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER DE LEON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "LESTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-259-5449",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME111208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Cameron Lesniak, M.S., L.M.H.C.
• Iana Lesnikova, MD
• Lesper Group Inc
• Anne-Sophie Lessard, M.D.
• Sharon Rose Lessner-Eisenberg, MSPT
• Charles William Lester, M.D.
• Eric Cecil Lester, MSW
• Eva Magdalena Lester, M.D.
• Veronica Lestienne, M.D.
• Asiel Leston

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.