Active NPI
Carlos Alberto Leon
- Family Nurse Practitioner
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11007687
- Practice address
- 10330 Nuvista Ave
Wellington, FL 33414-9365 - Phone
- (872) 231-3162
- NPI assigned
- Jul 2, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11007687 | FL | Primary |
Addresses
Primary practice location
10330 Nuvista Ave
Wellington, FL 33414-9365
Mailing address
PO Box 734951
Chicago, IL 60673-4951
Phone (702) 899-0595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109153400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2103 Renaissance Blvd
Apt 107
Miramar, FL 33025-5691
3129 S Congress Ave
Palm Springs, FL 33461-2551
5950 W Oakland Park Blvd
Suite 300
Lauderhill, FL 33313-1260
PO Box
Chicago, IL 60673
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11007687 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soma Medical Center, PA | Current | Accepting new patients | |
| Soma Medical Center, PA | Current | Accepting new patients | |
| Soma Medical Center PA 6 | Current | Accepting new patients | |
| Advance Autonomous Medical Group | Current | Accepting new patients | |
| Soma Medical Center .PA #6 | Current | Accepting new patients | |
| Hospitalis10 Inc | Current | Accepting new patients | |
| Orlando Family Physicians, LLC | Past | Accepting new patients |
Locations
4775 N Congress Ave
Boynton Beach, FL 33426
Phone (561) 328-8631
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834
5950 W Oakland Park Blvd
Ste 300
Lauderhill, FL 33313
Phone (954) 717-4066
3580 Lake Worth Rd
Palm Springs, FL 33461
Phone (561) 425-5075
3255 Forest Hill Blvd
#103
West Palm Beach, FL 33406
Phone (561) 964-4577
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFIECD
- https://fhir4.healow.com/fhir/r4/IFGECD
Organizations & group practices 8
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.
-
- Adult Health Nurse Practitioner
- Miramar, FL
- NPI 1972233815
-
- Physical Medicine & Rehabilitation Physician
- Navarre, FL
- NPI 1174159891
-
- Hospitalist Physician
- Lauderdale Lakes, FL
- NPI 1619469483
-
- Primary Care Clinic/Center
- Boynton Beach, FL
- NPI 1609449362
-
- Primary Care Clinic/Center
- Palm Springs, FL
- NPI 1295145704
-
- Internal Medicine Physician
- Palm Springs, FL
- NPI 1467499038
-
- Internal Medicine Physician
- Royal Palm Beach, FL
- NPI 1538805965
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1871110171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 734951",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606734951",
"telephone_number": "702-899-0595",
"fax_number": "702-977-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10330 NUVISTA AVE",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334149365",
"telephone_number": "872-231-3162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "CARLOS",
"middle_name": "ALBERTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-02",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11007687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109153400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.
- 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.