Individual provider Active NPI

Miguel Angel Castellanos Leyva

  • Nurse Practitioner
  • Palm Springs, FL
National Provider Identifier
1306674924
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11034236 Issued in FL
Practice address
100 Rex Ave Apt 1
Palm Springs, FL 33461-2062
Phone
(786) 370-2635
NPI assigned
Jul 24, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11034236 FL Primary

Addresses

Primary practice location

100 Rex Ave Apt 1
Palm Springs, FL 33461-2062

Mailing address

100 Rex Ave Apt 1
Palm Springs, FL 33461-2062

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
I20260310002043 FL Practitioner - Nurse Practitioner 8628551561 Practice locations: Port Saint Lucie, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Port Saint Lucie, FL 34953
Phone (786) 370-2635

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11034236FLMDNurse Practitioner

Hospital & facility affiliations 1

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": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1306674924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 REX AVE APT 1",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 REX AVE APT 1",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612062",
            "telephone_number": "786-370-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS LEYVA",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11034236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.