Individual provider Active NPI

Jonnathan Orlando Beltran Leon, PA

  • Physician Assistant
  • Miramar, FL
National Provider Identifier
1831088616
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2619-P.A. Issued in PR
Practice address
1 Main St Apt 220
Miramar, FL 33025-8205
Phone
(609) 336-6526
NPI assigned
Jun 28, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2619-P.A. PR Primary
Surgical Physician Assistant 363AS0400X 2619-P.A. PR
Surgical Assistant 246ZC0007X 21-225 FL

Addresses

Primary practice location

1 Main St Apt 220
Miramar, FL 33025-8205

Mailing address

1 Main St Apt 220
Miramar, FL 33025-8205
Phone (609) 336-6526

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)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
21-225FLMDSurgical Assistant
2619-P.A.PRMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1831088616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAIN ST APT 220",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330258205",
            "telephone_number": "609-336-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN ST APT 220",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330258205",
            "telephone_number": "609-336-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRAN LEON",
        "first_name": "JONNATHAN",
        "middle_name": "ORLANDO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "2619-P.A.",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PR",
            "license": "2619-P.A.",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "21-225",
            "primary": false
        }
    ],
    "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 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.