Individual provider Active NPI

Leonardo Castillo Iriarte, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1972217073
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023167 Issued in FL
Practice address
1901 SW 1St St FL 3
Miami, FL 33135-1601
Phone
(305) 576-1234
NPI assigned
Jan 12, 2023
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 APRN11023167 FL Primary

Addresses

Primary practice location

1901 SW 1St St FL 3
Miami, FL 33135-1601

Mailing address

1901 SW 1St St FL 3
Miami, FL 33135-1601
Phone (305) 576-1234

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
I20231026001894 FL Practitioner - Nurse Practitioner 5991151037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11023167FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Resource Community Health Centers, Inc Current Accepting new patients
Care Resource Community Health Centers, Inc. CurrentSince Jul 24, 2023 Accepting new patients
Care Resource Community Health Centers, Inc. CurrentSince Jul 24, 2023 Accepting new patients
Care Resource Community Health Centers, Inc Past Accepting new patients
Care Resource Community Health Centers Inc PastSince Sep 24, 2023 Accepting new patients

Locations

1800 SW 1st St
Miami, FL 33135
Phone (305) 203-5230

1901 SW 1st St
Fl 3
Miami, FL 33135
Phone (786) 534-8366

3510 Biscayne Blvd
Miami, FL 33137
Phone 3055761234282

1680 Michigan Ave
Ste 912
Miami Beach, FL 33139
Phone (305) 534-0503

871 W Oakland Park Blvd
Wilton Manors, FL 33311
Phone (954) 567-7141

Interoperability endpoints

  • Direct secure messaging: leonardo.castillo.p1@direct.careresource.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1972217073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SW 1ST ST FL 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351601",
            "telephone_number": "305-576-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SW 1ST ST FL 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351601",
            "telephone_number": "305-576-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO IRIARTE",
        "first_name": "LEONARDO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.