Advance Autonomous Medical Group

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

ADVANCE AUTONOMOUS MEDICAL GROUP

Practice address

2103 Renaissance Blvd Apt 107
Miramar, FL 33025-5691

Phone

(786) 631-8382

NPI assigned

Jun 14, 2022

Last updated

Mar 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos Alberto Leon, APRNNPI 1871110171

Title

Autonomous Nurse Practitioner

Phone

(786) 631-8382

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos Alberto Leon

  • Family Nurse Practitioner
  • Wellington, FL
  • NPI 1871110171
  NPD Authorized official

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1972233815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 RENAISSANCE BLVD APT 107",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 RENAISSANCE BLVD APT 107",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255691",
            "telephone_number": "786-631-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE AUTONOMOUS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "AUTONOMOUS NURSE PRACTITIONER",
        "authorized_official_telephone_number": "786-631-8382",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marguine Adme
• Kasandra Adras-Childs
• Marizelba Adrian, APRN
• Maria Rosario Adrianza
• Maryimelda Aduaka
• Advance Health Recovery, LLC
• Advance Primary Care Group LLC
• Advanced Behavioral Health Consults , LLC
• Advanced Pediatric Pulmonology, PLLC
• Advantage Care Agency

• Adult Health Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.