Active NPI
Joel Gomez Leon, ARNP
- Family Nurse Practitioner
- Hialeah, FL
National Provider Identifier
1700326550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9376739
- Practice address
- 383 W 34TH St
Hialeah, FL 33012-4309 - Phone
- (305) 823-3312
- Fax
- (305) 884-3989
- NPI assigned
- Feb 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9376739 | FL | Primary |
Addresses
Primary practice location
383 W 34TH St
Hialeah, FL 33012-4309
Mailing address
167 W 23Rd St
Hialeah, FL 33010
Phone (305) 823-3312
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170506000061 | FL | Order and Referring Only - Nurse Practitioner | 2365729068 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1700326550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 W 23RD ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33010",
"telephone_number": "305-823-3312",
"fax_number": "305-884-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 W 34TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330124309",
"telephone_number": "305-823-3312",
"fax_number": "305-884-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ LEON",
"first_name": "JOEL",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-27",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9376739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.