Gwendolyn De Leon, M.D.

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

ME124315 Issued in FL

Practice address

21110 Biscayne Blvd
Suite400
Aventura, FL 33180-1227

Phone

(305) 918-7050

Fax

(305) 918-7051

NPI assigned

May 21, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: gwendolyn.deleon@hca4.eclinicaldirectplus.com

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1831356468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3492 NW 82ND DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243575",
            "telephone_number": "832-746-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD",
            "address_2": "SUITE400",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801227",
            "telephone_number": "305-918-7050",
            "fax_number": "305-918-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "GWENDOLYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME124315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole R Davis, PSY.D., J.D.
• Daylily Health
• DDS Meister and Brilliant, PA
• Mariana De Donatis, MS-SLP
• Ana Paula De Faria, FNP
• Christian De Villafuerte, APRN
• Marsha L Deakter, MS,LMHC
• Sophia Esther Deben, MD
• Deborah Y Cova Medical Corp
• Alexis Elizabeth Deen, RDN

• Trauma Surgery Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Trauma Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.