Organization Active NPI

Gustavo G Leon MD PA

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1235850272
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GUSTAVO G LEON MD PA
Practice address
2525 SW 75TH Ave
Miami, FL 33155-2800
Phone
(305) 260-1842
NPI assigned
Sep 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Gustavo Leon, MD
Title
Owner
Phone
(305) 332-9013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2525 SW 75TH Ave
Miami, FL 33155-2800

Mailing address

7481 Miller Dr
Miami, FL 33155-5505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1235850272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7481 MILLER DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552800",
            "telephone_number": "305-260-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO G LEON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-332-9013",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "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 Sep 8, 2022; 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.