Leopoldo J Formoso-Murias, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0046906 Issued in FL

Practice address

9195 SW 72ND St Ste 110
Miami, FL 33173-3488

Phone

(305) 554-7200

Fax

(305) 554-8173

NPI assigned

May 19, 2006

Last updated

Apr 17, 2023By the provider in NPPES

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

Other identifiers 2

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

Specialty

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1356395933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 SW 72ND ST STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733488",
            "telephone_number": "305-554-7200",
            "fax_number": "305-554-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 SW 72ND ST STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733488",
            "telephone_number": "305-554-7200",
            "fax_number": "305-554-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMOSO-MURIAS",
        "first_name": "LEOPOLDO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0046906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042653900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0046906",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forma Physiotherapy LLC (Forma Physiotherapy)
• Aryeh Leib Forman, D.M.D.
• Formar Enterprises (The Childrens Place)
• Maria E. Formas, M.D.
• Chaveli Formoso Real
• Alexander Leopoldo Formoso, M.D.
• Eilys Formoso
• Michelle Formoso, ARNP-C
• Dieunane Formul, LCSW
• Formula Pharmacy, Inc.

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.