Leosdeivy Izquierdo Diaz

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11024590 Issued in FL

Practice address

23231 SW 111TH Ave
Homestead, FL 33032-5189

Phone

(305) 491-2733

NPI assigned

Feb 15, 2023

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• J. Gonzalez-Barrera, N.P., P.a.

  • Clinic/Center
  • North Miami, FL
  • NPI 1063008456
  Medicare reassignment NPD

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1669179057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23231 SW 111TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23231 SW 111TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325189",
            "telephone_number": "305-491-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZQUIERDO DIAZ",
        "first_name": "LEOSDEIVY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11024590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Israel Galtes MD PA
• Phinehas Ben Israel
• Modar Issa
• Iza Behavior Therapy Limited Liability Company
• Yeny Carolina Izaguirre Salgado
• Jorge Izquierdo
• Julio Armando Izquierdo, APRN
• J C Molina P a (Sara Home Care)
• Ayaah Jabbar
• Jacqueline Marie Jackson

• Nurse Practitioner in Homestead, FL
• Providers in Homestead, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.