Leonardo Henriquez M.D P.a

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME90504 Issued in FL

Legal business name

LEONARDO HENRIQUEZ M.D P.A

Practice address

13658 Deering Bay Dr
Coral Gables, FL 33158-2838

Phone

(786) 305-6352

Fax

(954) 432-5060

NPI assigned

May 18, 2017

Last updated

May 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leonardo J Henriquez

Title

President

Phone

(786) 302-6352

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495065600000",
    "number": "1679000871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE # 16960",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "786-302-6352",
            "fax_number": "954-432-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13658 DEERING BAY DR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331582838",
            "telephone_number": "786-305-6352",
            "fax_number": "954-432-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARDO HENRIQUEZ M.D P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-05-18",
        "status": "A",
        "authorized_official_last_name": "HENRIQUEZ",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-302-6352"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME90504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; 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.