Leonel Dejesus Blandon, P.A.- C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9104694 Issued in FL

Practice address

3181 Coral Way FL 4
Miami, FL 33145-3229

Phone

(305) 856-1002

NPI assigned

Sep 26, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560
  Medicare reassignment
• South Miami Criticare Inc.

  • Emergency Medicine Physician
  • South Miami, FL
  • NPI 1306878210
  Medicare reassignment
• Tamiami Canal Emergency Physicians LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1831453018
  NPD (past)

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1720238603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14302 SW 76TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832908",
            "telephone_number": "305-794-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 CORAL WAY FL 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453229",
            "telephone_number": "305-856-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANDON",
        "first_name": "LEONEL",
        "middle_name": "DEJESUS",
        "credential": "P.A.- C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-26",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Francisco Blandino, LPN
• Maria D Blandon-Mayorga, RDN, LD/N
• Andrea Karina Blandon
• Jaanai Blandon, CF-SLP
• Jimena Amparo Blandon, M.D.
• Michelle Blandon, ARNP
• Natalia A Blandon, FNP, RN
• Scarlett Blandon, LCSW
• Wilner Blanfort
• Bonnie Blank, ARNP

• Medical Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.

Verify at the official NPI Registry.