Carlos Manuel Legra Elias, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11006212 Issued in FL

Practice address

15430 SW 82ND LN Apt 634
Miami, FL 33193-1248

Phone

(786) 286-8679

NPI assigned

Feb 18, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: carlos.legraelias@wwmp.eclinicaldirectplus.com

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1326671389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15430 SW 82ND LN APT 634",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931248",
            "telephone_number": "786-286-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15430 SW 82ND LN APT 634",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931248",
            "telephone_number": "786-286-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGRA ELIAS",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisol Legon Perez, LMT
• Enrique Antonio Legon Valdes, DDS
• Barbara Lidierkys Legon
• Osmay Legon
• Eugenia Legorburu, M.D.
• Odalmys Legra Garrido
• Katia Legra Matos, RBT
• Genis Legra Rodriguez, RBT
• Bertha Victoria Legra, LMHC, CMHC, MCAP
• Rafael Adrian Legra, RBT

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.