Individual provider Active NPI

Carlos Javier Rodriguez Leon

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1699621466
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11045819 Issued in FL
Practice address
135 W 39TH PL
Hialeah, FL 33012-4427
Phone
(786) 316-6850
NPI assigned
Mar 5, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11045819 FL Primary

Addresses

Primary practice location

135 W 39TH PL
Hialeah, FL 33012-4427

Mailing address

135 W 39TH PL
Hialeah, FL 33012-4427

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260317000254 FL Practitioner - Nurse Practitioner 4486137585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

135 W 39TH PL
Hialeah, FL 33012-4427

2400 NW 54TH St
Miami, FL 33142-2946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11045819FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acevedo Medical Care Group Inc CurrentSince Mar 5, 2026 Accepting new patients

Locations

2400 NW 54th St
Miami, FL 33142
Phone (305) 633-9090

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1699621466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W 39TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 39TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124427",
            "telephone_number": "786-316-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ LEON",
        "first_name": "CARLOS",
        "middle_name": "JAVIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11045819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.