Camilo Gomez Leon, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11030249 Issued in FL

Practice address

14334 SW 177TH St
Miami, FL 33177-2620

Phone

(786) 333-6504

NPI assigned

Mar 15, 2021

Reactivated

Mar 11, 2024

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eddie Armas MD PAGroup PAC ID 7810012655, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: camilo.gomez.1@18897.direct.athenahealth.com

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.

• Eddie Armas MD PA

  • General Practice Physician
  • Miami, FL
  • NPI 1619290764
  Medicare reassignment Care Compare group NPD
• Comprehensive Counseling and Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1275062135

  Case Management

  Medicare reassignment NPD
• Acacia Health Group Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1205651544
  NPD
• Dalia Medical Center Corp

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1548095011
  NPD

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1548845282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14334 SW 177TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772620",
            "telephone_number": "786-333-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14334 SW 177TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772620",
            "telephone_number": "786-333-6504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8726 NW 26th St Ste 17",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331721629",
            "country_code": "US",
            "telephone_number": "786-259-0585",
            "fax_number": "224-412-4976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ LEON",
        "first_name": "CAMILO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-15",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "deactivation_date": "2024-01-12",
        "reactivation_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osmay Gomez Hernandez, APRN
• Shelly Gomez Hernandez
• Alexey Gomez Herrera
• Janys C Gomez Hung
• Andrea Carolina Gomez Jaramillo
• Nayili Gomez Lopez
• Aida Maria Gomez Lugones
• Graciella Maria Gomez Maceda
• Olga Soraida Gomez Machado
• Gleidy Gomez Martinez

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.