Active NPI
Alejandro A Leon, MS, RD
- Registered Dietitian
- Miramar, FL
National Provider Identifier
1740574136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 5725
- Practice address
- 3102 Commerce Parkway
Miramar, FL 33025 - Phone
- (305) 816-5800
- Fax
- (305) 816-5844
- NPI assigned
- Jun 3, 2011
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND 5725 | FL | Primary |
Addresses
Primary practice location
3102 Commerce Parkway
Miramar, FL 33025
Mailing address
3102 Commerce Pkwy
Miramar, FL 33025-3943
Phone (305) 816-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 5725 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307059200000",
"number": "1740574136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3102 COMMERCE PKWY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253943",
"telephone_number": "305-816-5800",
"fax_number": "305-816-5844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3102 COMMERCE PARKWAY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "33025",
"telephone_number": "305-816-5800",
"fax_number": "305-816-5844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "ALEJANDRO",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-03",
"last_updated": "2011-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 5725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.