Active NPI
Michael Gerardo Leon Rodriguez, MD
- General Practice Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1439
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1439 | FL | MD | General Practice Physician |
| 022654 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Care Medical Center Inc | Current | Accepting new patients | |
| Centro Medico del Turabo Inc | Current | Accepting new patients | |
| Centro Medico del Turabo Inc | General Practice | Current | Accepting new patients |
| Florida Care Medical Center Inc | Current | Accepting new patients | |
| Orlando Family Physicians, LLC | General Practice | Past | 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
- 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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225883580
-
- Multi-Specialty Clinic/Center
- Caguas, PR
- NPI 1710107883
General Practice
-
- Family Medicine Physician
- Orlando, FL
- NPI 1881422434
-
- Home Infusion Therapy Pharmacy
- Bayamon, PR
- NPI 1811632581
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.