Active NPI
Leon Medical Centers LLC
- Health Service Clinic/Center
- Miami, FL
National Provider Identifier
1376579839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- LEON MEDICAL CENTERS LLC
- Practice address
- 11501 SW 40TH St
Miami, FL 33165-3313 - Phone
- (305) 642-5366
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Leon III
- Title
- Executive Vice Chairman
- Phone
- (305) 642-5366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
11501 SW 40TH St
Miami, FL 33165-3313
Mailing address
8600 NW 41St St
Doral, FL 33166-6202
Phone (305) 642-5366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40907A | Other | FL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031217000140 | FL | Part B Supplier - Clinic/Group Practice | 9537066618 |
Receives reassigned benefits from 200 practitioners Practice locations: Miami, FL; Hialeah, FL; Doral, FL; Homestead, FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 206
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tavernier, FL
- NPI 1700306164
FL, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740009600000",
"number": "1376579839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 NW 41ST ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331666202",
"telephone_number": "305-642-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11501 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653313",
"telephone_number": "305-642-5366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEON MEDICAL CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A",
"authorized_official_last_name": "LEON",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "EXECUTIVE VICE CHAIRMAN",
"authorized_official_telephone_number": "305-642-5366",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "40907A",
"state": "FL"
}
],
"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 Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.