Individual provider Active NPI

Marilin De Leon, D.O.

  • Emergency Medicine Physician
  • Miami, FL
National Provider Identifier
1306074604
Registry record updated Jan 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS 12036 Issued in FL
Practice address
3663 S Miami Ave
Miami, FL 33133-4253
Phone
(305) 285-2172
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS12036 FL
Emergency Medicine Physician 207P00000X OS 12036 FL Primary

Addresses

Primary practice location

3663 S Miami Ave
Miami, FL 33133-4253

Mailing address

3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 586-8901

Other practice location 1

9555 SW 162nd Ave
Miami, FL 33196-6408
Phone (786) 467-2000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131014000487 FL Practitioner - Emergency Medicine 5799919411 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergent Physicians of Country Walk LLCGroup PAC ID 4688916091, 33 clinicians
Emergent Physicians of West Dade, LLCGroup PAC ID 8921511353, 44 clinicians
Emergent Physicians of Miami Lakes LLCGroup PAC ID 9739617010, 22 clinicians

Practice addresses (Care Compare)

14150 SW 136TH St
Miami, FL 33186-5506
Phone (786) 204-4600

14591 SW 26TH St
Miami, FL 33175-8038
Phone (786) 888-8820

15200 NW 77TH CT
Miami Lakes, FL 33016-6033
Phone (877) 346-2211

Hospital & facility affiliations

  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296
  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314
  • HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 12036FLMDEmergency Medicine Physician
OS12036FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergent Physicians of Miami Lakes, LLC Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Emergent Physicians of West Dade, LLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 1, 2023 Accepting new patients
E R Stat Inc Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Emergent Physicians of Country Walk, LLC Emergency Medicine CurrentSince May 14, 2019 Accepting new patients
Emergent Physicians of Doral, LLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 1, 2023 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Emergent Physicians of Palmetto Bay, LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Jul 24, 2025 Accepting new patients
Openloop Healthcare Partners California PC Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

8931 W Atlantic Blvd
Coral Springs, FL 33071
Phone (754) 225-7033

4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

14591 SW 26th St
Miami, FL 33175
Phone (786) 204-4600

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

15200 NW 77th Ct
Miami Lakes, FL 33016
Phone (786) 595-1800

8750 SW 144th St
Ste 100
Palmetto Bay, FL 33176
Phone (305) 253-5585

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

4500 Mercantile Plaza Dr
Fort Worth, TX 76137
Phone (214) 635-6412

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546732800000",
    "number": "1306074604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334253",
            "telephone_number": "305-586-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334253",
            "telephone_number": "305-285-2172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9555 SW 162nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331966408",
            "country_code": "US",
            "telephone_number": "786-467-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "MARILIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2019-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS12036",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS 12036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.