Miriam Daniela De Leon, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

512 Victoria LN Ste 2
Harlingen, TX 78550-3227

Phone

(956) 365-4400

NPI assigned

Mar 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology Consultants of South Texas, PLLCGroup PAC ID 3274624937, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
• Valley Regional Medical Center Hospital, Brownsville, TX, CCN 450662

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Gastroenterology Consultants of South Texas, PLLC

  • Gastroenterology Physician
  • Harlingen, TX
  • NPI 1821127002
  Medicare reassignment Care Compare group
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)

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

• Columbia Valley Healthcare System, L.P.

  • General Acute Care Hospital
  • Brownsville, TX
  • NPI 1043267701
  Care Compare affiliation
• Doctors Hospital at Renaissance, LTD

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1053317362
  Care Compare affiliation
• Doctors Hospital at Renaissance, LTD

  • Transplant Surgery Physician
  • McAllen, TX
  • NPI 1104338052

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1396206983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 VICTORIA LN STE 2",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503227",
            "telephone_number": "956-365-4400",
            "fax_number": "956-365-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 VICTORIA LN STE 2",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503227",
            "telephone_number": "956-365-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Lorenaly Dr",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785264333",
            "country_code": "US",
            "telephone_number": "956-365-4400",
            "fax_number": "956-365-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "MIRIAM",
        "middle_name": "DANIELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40294401",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HARLINGEN",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "address_1": "512 Victoria Ln Ste 2",
            "city": "Harlingen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785503227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laurie De Leon - Escobedo, FNP-C
• Iris Ann Soto De Leon, PHYSICAL THERAPIST
• Janet Miranda De Leon
• Luis Antonio De Leon, LVN
• Marissa Renee De Leon, PA-C
• Ramon De Leon, D.D.S.
• Raul De Leon Jr., LCDC
• Sergio De Leon
• Victor Hugo De Leon Jr.
• Benito Eduardo De Luna, BSN RN

• Medical Physician Assistant in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.