Individual provider Active NPI

Michael Gerardo Leon Rodriguez, MD

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1700468535
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1439 Issued in FL
Practice address
810 N Nowell St
Orlando, FL 32808-7539
Phone
(407) 842-8283
Fax
(786) 513-3731
NPI assigned
Apr 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 022654 PR
General Practice Physician 208D00000X ACN1439 FL Primary

Addresses

Primary practice location

810 N Nowell St
Orlando, FL 32808-7539

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 332-6947

Other practice location 1

Estancias del Blvd Garden
3F2
San Juan, PR 00926-6013
Phone (863) 934-5634

Other practice location 2

21 S Charles Richard Beall Blvd
Debary, FL 32713-3332
Phone (386) 516-0930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220720000813 PR Practitioner - Family PracticePractitioner - General Practice 8921489154 Reassigns benefits to 1 organization
Practice locations: San Juan, PR
I20240515000032 FL Practitioner - General Practice 8921489154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Florida Care Medical Center IncGroup PAC ID 5193183754, 5 clinicians

Practice addresses (Care Compare)

810 N Nowell St
Orlando, FL 32808-7539
Phone (407) 842-8283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN1439FLMDGeneral Practice Physician
022654PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Care Medical Center Inc CurrentSince Feb 2, 2025 Accepting new patients
Centro Medico del Turabo Inc CurrentSince May 15, 2022 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince May 15, 2022 Accepting new patients
Florida Care Medical Center Inc CurrentSince Feb 2, 2025 Accepting new patients
Orlando Family Physicians, LLC General Practice PastSince Jan 5, 2025 Accepting new patients

Locations

720 Oak Commons Blvd
Kissimmee, FL 34741
Phone (407) 933-2522

810 N Nowell St
Orlando, FL 32808
Phone (407) 290-9556

7200 Curry Ford Rd
Orlando, FL 32822
Phone (407) 842-8283

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Interoperability endpoints

  • Direct secure messaging: michael.leon@fcm.eclinicaldirectplus.com

Organizations & group practices 5

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": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1700468535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N NOWELL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087539",
            "telephone_number": "407-842-8283",
            "fax_number": "786-513-3731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Estancias del Blvd Garden",
            "address_2": "3F2",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009266013",
            "country_code": "US",
            "telephone_number": "863-934-5634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 S Charles Richard Beall Blvd",
            "address_purpose": "LOCATION",
            "city": "Debary",
            "state": "FL",
            "postal_code": "327133332",
            "country_code": "US",
            "telephone_number": "386-516-0930",
            "fax_number": "386-668-6897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON RODRIGUEZ",
        "first_name": "MICHAEL",
        "middle_name": "GERARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022654",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.