Active NPI
Leonardo J Henriquez, MD
- Surgery Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME90504
- Practice address
- 1611 NW 12TH Ave
Box 016960 (M851)
Miami, FL 33136-1005 - Phone
- (305) 243-6723
- NPI assigned
- Jul 31, 2006
- Last updated
- Jan 29, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME90504 | FL | Primary |
Addresses
Primary practice location
1611 NW 12TH Ave
Box 016960 (M851)
Miami, FL 33136-1005
Mailing address
1611 NW 12TH Ave
Box 016960 (M851)
Miami, FL 33136-1005
Phone (305) 243-6723
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641
7500 SW 87TH Ave
Suite 100
Miami, FL 33173-5426
Phone (305) 740-5100
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME90504 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Health, LLC | Current | Accepting new patients | |
| Gastro Health LLC | Current | Accepting new patients | |
| Vitalmd Group Holding LLC | Surgery | Current | Accepting new patients |
| University of Miami Hospital and Clinics | Past | Accepting new patients |
Locations
8353 NW 36th St
Doral, FL 33166
Phone (305) 303-3872
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333
7500 SW 87th Ave
Ste 201
Miami, FL 33173
Phone (305) 271-3300
9408 SW 87th Ave
Ste 200
Miami, FL 33176
Phone 3054684190 ext. 5003
9555 N Kendall Dr
Ste 100
Miami, FL 33176
Phone (305) 273-7319
15735 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 517-1725
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Miami, FL
- NPI 1487767133
-
- Gastroenterology Physician
- Pembroke Pines, FL
- NPI 1457026932
-
dba Sylvester Comprehensive Cancer Center
- Special Hospital
- Miami, FL
- NPI 1679660617
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Miami, FL
- NPI 1982688230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1699781914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "BOX 016960 (M851)",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-243-6723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "BOX 016960 (M851)",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-243-6723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRIQUEZ",
"first_name": "LEONARDO",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME90504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.