Individual provider Active NPI

Leonel Cristiano Montenegro Sr., NP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1225617616
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11011643 Issued in FL
Practice address
5180 NW 7TH St Apt 824
Miami, FL 33126-3351
Phone
(786) 291-6175
NPI assigned
Apr 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 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: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 11011643 FL Primary

Addresses

Primary practice location

5180 NW 7TH St Apt 824
Miami, FL 33126-3351

Mailing address

5180 NW 7TH St Apt 824
Miami, FL 33126-3351
Phone (786) 291-6175

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11011643FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serve All Medical GCS, PLLC Multi-Specialty PastSince Mar 16, 2021 Accepting new patients
Serve All Medical Colorado Springs PLLC Multi-Specialty PastSince Nov 3, 2024 Accepting new patients
Serve All Medical Colorado PPLC PastSince Feb 11, 2024 Accepting new patients
Serve All Medical Oltorf, PLLC Multi-Specialty Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1225617616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 NW 7TH ST APT 824",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263351",
            "telephone_number": "786-291-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 NW 7TH ST APT 824",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263351",
            "telephone_number": "786-291-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTENEGRO",
        "first_name": "LEONEL",
        "middle_name": "CRISTIANO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.