Active NPI
Andrea Carolina Leon Hostos
- Dentist
- Pembroke Pines, FL
National Provider Identifier
1487414405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN31609
- Practice address
- 17767 SW 2ND St
Pembroke Pines, FL 33029-3924 - Phone
- (954) 430-4334
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN31609 | FL | Primary |
Addresses
Primary practice location
17767 SW 2ND St
Pembroke Pines, FL 33029-3924
Mailing address
429 N University Dr
Plantation, FL 33324-1478
Phone (786) 239-0441
Other practice location 1
2900 N Military Trl Ste 175
Boca Raton, FL 33431-6381
Phone (561) 922-0052
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
| License | State | Type | Specialty |
|---|---|---|---|
| DRPM2682 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782518400000",
"number": "1487414405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 N UNIVERSITY DR",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241478",
"telephone_number": "786-239-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17767 SW 2ND ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330293924",
"telephone_number": "954-430-4334"
}
],
"practiceLocations": [
{
"address_1": "2900 N Military Trl Ste 175",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334316381",
"country_code": "US",
"telephone_number": "561-922-0052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEON HOSTOS",
"first_name": "ANDREA",
"middle_name": "CAROLINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2026-06-27",
"certification_date": "2026-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN31609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.