LEON MEDICAL CENTERS LLC (NPI# 1568587087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568587087 |
| Entity Type | Organization |
| Organization Name | LEON MEDICAL CENTERS LLC |
| Other Organization Name | LEON MEDICAL CENTERS |
| Practice Address |
2020 W 64th St Hialeah FL 33016-2607 |
| Mailing Address |
8600 Nw 41st St Doral FL 33166-6202 |
| Practice Telephone | 3056315924 |
| Practice Fax Number | 3056463744 |
| Mailing Telephone | 3056425366 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | JORGE ACOSTA (DIR OF PHCY) |
| Authorized Official Telephone | 3056314427 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
PH22380 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1023821 | 01 |
| Other Name | Type Code |
|---|---|
| LEON MEDICAL CENTERS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861728966 | Leon Medical Centers LLC | Pharmacy | 150 Nw 79th Ave, Miami, FL 33126-4012 | 2009-10-23 |
| 1457477689 | Leon Medical Centers LLC | Pharmacy | 8888 Coral Way, Miami, FL 33165-2008 | 2007-03-21 |
| 1700941135 | Leon Medical Centers LLC | Pharmacy | 2020 W 64th St, Hialeah, FL 33016-2607 | 2006-12-26 |
| 1609474089 | Leon Medical Centers LLC | Pharmacy | 8881 Nw 18th Ter, Doral, FL 33172-2624 | 2020-10-16 |
| 1124672407 | Leon Medical Centers LLC | Non-Pharmacy Dispensing Site | 7950 Nw 2nd St, Miami, FL 33126-8017 | 2019-07-25 |
| 1013240217 | Leon Medical Centers LLC | Pharmacy | 12515 Sw 88th St, Miami, FL 33186-1870 | 2009-09-08 |
| 1821116716 | Leon Medical Centers LLC | Pharmacy | 11501 Sw 40th St, Miami, FL 33165-3313 | 2007-03-27 |
| 1306961248 | Leon Medical Centers LLC | Pharmacy | 8600 Nw 41st St, Doral, FL 33166-6202 | 2007-03-20 |
| 1114042322 | Leon Medical Centers LLC | Pharmacy | 445 E 25th St, Hialeah, FL 33013-3810 | 2007-03-20 |
| 1629102587 | Leon Medical Centers LLC | Pharmacy | 101 Sw 27th Ave, Miami, FL 33135-1428 | 2007-03-15 |
| Street Address |
2020 W 64TH ST |
| City | HIALEAH |
| State | FL |
| Zip Code | 33016-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700941135 | Leon Medical Centers LLC | Pharmacy | 2020 W 64th St, Hialeah, FL 33016-2607 | 2006-12-26 |
| 1750913919 | Angela Lourdes Castellanos | Physical Therapy Assistant | 2020 W 64th St, Hialeah, FL 33016-2607 | 2020-02-06 |
| 1447678727 | Miguel Angel Cruz | Family Medicine | 2020 W 64th St, Hialeah, FL 33016-2607 | 2014-04-03 |
| 1477989051 | Kirenia Perez | Pharmacist | 2020 W 64th St, Hialeah, FL 33016-2607 | 2013-09-16 |
| 1598009490 | Tarlika Patel | Pharmacist | 2020 W 64th St, Hialeah, FL 33016-2607 | 2012-11-15 |
| 1477808269 | Ivette M Alfonso Silva | Internal Medicine | 2020 W 64th St, Hialeah, FL 33016-2607 | 2012-07-17 |
| 1306134168 | Ekie G Vazquez-maldonado | Internal Medicine | 2020 W 64th St, Hialeah, FL 33016-2607 | 2011-07-14 |
| 1770877946 | Ivet Jordan | Family Medicine | 2020 W 64th St, Hialeah, FL 33016-2607 | 2011-06-06 |
| 1558670422 | Yorbell Soris | Family Medicine | 2020 W 64th St, Hialeah, FL 33016-2607 | 2010-09-27 |
| 1013223643 | Richard Gonzalez Perez | Family Medicine | 2020 W 64th St, Hialeah, FL 33016-2607 | 2010-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450580 | Yenly Hernandez Arrieta | Behavior Technician | 6550 West 22 Court, Hialeah, FL 33016 | 2020-09-03 |
| 1952929028 | Live Mental Care Inc | Community/Behavioral Health | 8040 Nw 95th St., Unit 226, Hialeah Gardens, FL 33016 | 2020-07-06 |
| 1497375059 | Lisset Sirven | Student in an Organized Health Care Education/Training Program | Palmetto General Hospital, 2001 W 68th St, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-23 |
| 1386264331 | Zahid Chaudhry | Student in an Organized Health Care Education/Training Program | 2001 W 68th Street, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-20 |
| 1386285021 | Monica Hurtado | Behavior Technician | 2480 W 67th Pl # 22, Hialeah, FL 33016 | 2019-10-03 |
| 1346892783 | Yamile Blanco Rodriguez | Behavior Technician | 2265 W 55th St, Hialeah, FL 33016 | 2019-07-16 |
| 1669938197 | Althea Aesthetics & Medical Arts Center | Pathology | 14160 Nw 77th Court., Suite 100, Miami Lakes, FL 33016 | 2019-02-20 |
| 1497226096 | Dominick Maurici | Physical Therapy Assistant | 9905 Nw 79 Ave, Hialeah Gardens, FL 33016 | 2018-12-09 |
| 1871061283 | Lazaro Teresa-calleja Jr. | Nurse Practitioner | 2715 West 73 Pl, Hialeah, FL 33016 | 2018-11-05 |
| 1245719640 | Yagna Elena Martinez La Fe | Nurse Practitioner | 7191 W 24th Ave Apt 56, Hialeah, FL 33016 | 2018-08-07 |
| Find all providers in zip 33016 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263871 | Dominique Nguyen | Pharmacy | 3820 Northdale Blvd Ste 311a, Tampa, FL 33624-1857 | 2020-04-06 |
| 1467964494 | Florida Health Care Plan, Inc | Pharmacy | 200 Southpark Blvd Ste 206, St Augustine, FL 32086-3129 | 2017-10-31 |
| 1669912184 | We Are One Medical Group Inc. | Pharmacy | 3169 Carthage Ct, Orlando, FL 32837-9032 | 2017-03-02 |
| 1568748010 | Advanced Rx Management | Pharmacy | 5315 Avion Park Dr Ste 120, Tampa, FL 33607-1461 | 2011-10-28 |
| 1457477689 | Leon Medical Centers LLC | Pharmacy | 8888 Coral Way, Miami, FL 33165-2008 | 2007-03-21 |
| 1336209568 | Davita Medical Florida, Inc. | Pharmacy | 1931 W Lumsden Rd, Brandon, FL 33511-8819 | 2006-12-11 |
| 1063572295 | Optumcare Florida, LLC | Pharmacy | 4757 Us Highway 19, New Port Richey, FL 34652-4945 | 2006-12-11 |
| 1316958952 | Exp Pharmacy Svc of Fl LLC | Pharmacy | 8275 Bryan Dairy Rd, Largo, FL 33777-1324 | 2006-08-10 |
| 1184040628 | Florida Health Care Plan Inc | Pharmacy | 707 Platinum Pt, Lake Mary, FL 32746-5702 | 2014-03-07 |
| 1598922049 | Consulting Results Inc. | Pharmacy | 10876 La Salinas Cir, Boca Raton, FL 33428-1235 | 2008-05-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.