Carlos De Leon

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11035614 Issued in FL

Practice address

1428 SE 26TH Rd
Homestead, FL 33035-2529

Phone

(786) 521-0030

NPI assigned

Oct 3, 2024

Sex

Male

Sole proprietor

No

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Balanced Wellbeing LLC

  • Psychiatry Physician
  • Ocala, FL
  • NPI 1336513639
  Medicare reassignment Care Compare group NPD
• Jessie Trice Community Health System, Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1689605362
  Medicare reassignment NPD
• Jessie Trice Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1467614099
  NPD
• Jessie Trice Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Miami Gardens, FL
  • NPI 1639518798
  NPD
• Jessie Trice Community Health System, Inc

  • Community/Retail Pharmacy
  • Miami, FL
  • NPI 1043892979
  NPD

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1740008150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 SE 26TH RD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330352529",
            "telephone_number": "786-521-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 SE 26TH RD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330352529",
            "telephone_number": "786-521-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5361 NW 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331428035",
            "country_code": "US",
            "telephone_number": "305-637-6400",
            "fax_number": "305-636-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-03",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11035614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocamadour De la Torre
• Tatiana De la Vega
• Roxana de la Caridad De Leon Benitez
• Adriana De Leon Otero, RBT
• Lisdaimy M De Leon Perez
• Daylin De Leon
• Jose O De Los Santos, MD
• Christine Manika De Mel, MSW
• Michely De Oliveira
• Lazaro F De Paz Perez, REGISTERED NURSE

• Psychiatric/Mental Health Nurse Practitioner in Homestead, FL
• Providers in Homestead, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.

Verify at the official NPI Registry.