| Carlos Alberto Leon, | |
|
10330 Nuvista Ave, Wellington, FL 33414-9365 | |
| (872) 231-3162 | |
| Not Available |
| Full Name | Carlos Alberto Leon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 10330 Nuvista Ave, Wellington, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871110171 | NPI | - | NPPES |
| 109153400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11007687 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Soma Medical Center Pa 12 | 3274980438 | 4 |
| Entity Name | Medcare Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114485638 PECOS PAC ID: 4082046982 Enrollment ID: O20191114001997 |
| Entity Name | Centrum Medical Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538714282 PECOS PAC ID: 8820422991 Enrollment ID: O20191223002085 |
| Entity Name | Soma Medical Center Pa #6 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295145704 PECOS PAC ID: 6406239540 Enrollment ID: O20220823000192 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Alberto Leon, Po Box 734951, Chicago, IL 60673-4951 Ph: (702) 899-0595 | Carlos Alberto Leon, 10330 Nuvista Ave, Wellington, FL 33414-9365 Ph: (872) 231-3162 |
Jossener Joseph, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 13837 Sheffield St, Wellington, FL 33414 Phone: 561-818-4151 | |
Jennifer Sierra, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13421 S Shore Blvd Ste 101, Wellington, FL 33414 Phone: 561-440-1616 Fax: 561-440-2030 | |
Jami Lynn Fuccile, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10131 Forest Hill Blvd Ste 101, Wellington, FL 33414 Phone: 561-967-4118 Fax: 561-967-3463 | |
Mrs. Jennifer Sanfilippo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8440 Lake Worth Rd Ste 100, Wellington, FL 33467 Phone: 561-967-5033 | |
Deanna Goulet, APRN-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1037 S State Road 7 Ste 211, Wellington, FL 33414 Phone: 561-798-3030 Fax: 561-798-8242 | |
Germelia Gede, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10330 Nuvista Ave, Wellington, FL 33414 Phone: 872-231-3162 | |
Nalini Vijayvergia, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3347 S State Road 7 Ste 203, Wellington, FL 33449 Phone: 561-893-6100 Fax: 561-793-1974 |