Individual provider Active NPI

Carlos Alberto Leon

  • Family Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1871110171
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007687 Issued in FL
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

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
109153400MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210219001316 FL Practitioner - Nurse Practitioner 0840605077 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
11007687FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Medical Center, PA CurrentSince Sep 29, 2025 Accepting new patients
Soma Medical Center, PA CurrentSince Sep 29, 2025 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 CurrentSince Apr 8, 2025 Accepting new patients
Hospitalis10 Inc CurrentSince Aug 21, 2024 Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
  • FHIR API: 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.

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

Verify at the official NPI Registry.