Active NPI
Pedro E. Leon Alfonso
- Case Manager/Care Coordinator
- Doral, FL
National Provider Identifier
1184199739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CBHCM100425
- Practice address
- 1905 NW 82ND Ave
Doral, FL 33126-1011 - Phone
- (786) 420-5924
- NPI assigned
- Oct 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CBHCM100425 | FL | Primary |
Addresses
Primary practice location
1905 NW 82ND Ave
Doral, FL 33126-1011
Mailing address
8425 NW 169TH Ter
Miami Lakes, FL 33016-6160
Phone (786) 714-9842
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CBHCM100425 | FL | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychwell. Inc | Case Manager/Care Coordinator | Past | Accepting new patients |
| Helping Hands International Foundation Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Registered Nurse
- Miami Lakes, FL
- NPI 1891549051
-
- Community/Behavioral Health Agency
- Hialeah, FL
- NPI 1407698236
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1184199739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8425 NW 169TH TER",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330166160",
"telephone_number": "786-714-9842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 NW 82ND AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331261011",
"telephone_number": "786-420-5924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON ALFONSO",
"first_name": "PEDRO",
"middle_name": "E.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "CBHCM100425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.