Individual provider Active NPI

Eduardo Antonio Arias Leon, APRN

  • Family Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1194319145
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11011543 Issued in FL
Practice address
9015 NW 164TH St
Miami Lakes, FL 33018-6191
Phone
(786) 317-7162
NPI assigned
Feb 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11011543 FL Primary

Addresses

Primary practice location

9015 NW 164TH St
Miami Lakes, FL 33018-6191

Mailing address

9015 NW 164TH St
Miami Lakes, FL 33018-6191
Phone (786) 317-7162

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211221002632 FL Practitioner - Nurse Practitioner 2163813486 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11011543FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health and Wellness Center of Miami Inc Single Specialty CurrentSince Aug 18, 2021 Accepting new patients
Sol Community Center, Corp Single Specialty CurrentSince Aug 12, 2025 Accepting new patients
Blanca Nelida Gonzalez MD PA Single Specialty CurrentSince Apr 16, 2024 Accepting new patients

Locations

1671 W 37th St
Ste 3
Hialeah, FL 33012
Phone (305) 821-7614

1435 W 49th Pl
Ste 701
Hialeah, FL 33012
Phone (305) 351-2405

7237 SW 24th St
Miami, FL 33155
Phone (305) 262-3704

9380 Sunset Dr
Ste B240
Miami, FL 33173
Phone (786) 534-4979

759 NW 22nd Ave
Miami, FL 33125
Phone (305) 541-5245

11648 Quail Roost Dr
Perrine, FL 33157
Phone (305) 971-6883

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGCAED/Endpoint/GGCAED
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFFJDD/Endpoint/AFFJDD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1194319145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 NW 164TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186191",
            "telephone_number": "786-317-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 NW 164TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186191",
            "telephone_number": "786-317-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIAS LEON",
        "first_name": "EDUARDO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.