Individual provider Active NPI

Leonardo Javier Sierra Rodriguez, TLHT PHYSICIAN ASSIS

  • Physician Assistant
  • Miami Lakes, FL
National Provider Identifier
1437906880
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TPPA584 Issued in FL
Practice address
16378 NW 86TH CT
Miami Lakes, FL 33016-6146
Phone
(786) 800-7631
NPI assigned
May 3, 2024
Last updated
May 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TPPA584 FL Primary

Addresses

Primary practice location

16378 NW 86TH CT
Miami Lakes, FL 33016-6146

Mailing address

16378 NW 86TH CT
Miami Lakes, FL 33016-6146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TPPA584FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kids R Kool, Inc Current Accepting new patients
Kids R Kool, Inc Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1437906880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16378 NW 86TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16378 NW 86TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166146",
            "telephone_number": "786-800-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA RODRIGUEZ",
        "first_name": "LEONARDO",
        "middle_name": "JAVIER",
        "credential": "TLHT PHYSICIAN ASSIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "TPPA584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.