LEODAN DIAZ ALFONSO
NPI 1780384354
Nurse Practitioner - Psychiatric/Mental Health in Palmetto Bay, FL

Active since March 03, 2023PECOS Enrolled
15924 SW 92ND AVE, PALMETTO BAY, FL 33157(305) 964-5824 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 12, 2024, Jun 5, 2024, Mar 7, 2024 and 1 more (4 updates tracked since 2023).

About Leodan Diaz Alfonso NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEODAN DIAZ ALFONSO (NPI 1780384354) is an individual psychiatric/mental health provider in Palmetto Bay, Florida, licensed in Florida (APRN11017005) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Plantation.

NPPES Registry Identity

NPI1780384354
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameLEODAN DIAZ ALFONSO
Location Address15924 SW 92ND AVEPalmetto Bay, FL 33157-1842
Mailing Address15924 Sw 92nd AvePalmetto Bay, FL 33157-1842 · (305) 964-5824 · Fax (786) 452-1200
Sole ProprietorNo
Enumeration DateMarch 3, 2023
Last NPPES UpdateJune 12, 20244 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
NPI 1780384354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · APRN11017005
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11017005 (FL)
15924 SW 92ND AVE, Palmetto Bay, FL 33157

Secondary Practice Location 1

Location 18251 W Broward Blvd Ste 200-210Plantation, FL 33324-2703 · Phone (954) 334-3131 · Fax (954) 334-3132

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Leodan Diaz Alfonso is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33157 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
15924 SW 92ND AVE
MIAMI, FL 33157
Social Worker (Clinical)
15924 SW 92ND AVE
PALMETTO BAY, FL 33157
Social Worker
15924 SW 92ND AVE
PALMETTO BAY, FL 33157
Social Worker
15924 SW 92ND AVE
MIAMI, FL 33157
Case Manager/Care Coordinator
15924 SW 92ND AVE
PALMETTO BAY, FL 33157
Community/Behavioral Health
15924 SW 92ND AVE
PALMETTO BAY, FL 33157
Counselor (Mental Health)
15924 SW 92ND AVE
MIAMI, FL 33157
Social Worker
15924 SW 92ND AVE
PALMETTO BAY, FL 33157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leodan Diaz Alfonso's NPI number?

The NPI number for Leodan Diaz Alfonso is 1780384354. It was assigned to this individual provider in the NPPES registry on March 3, 2023.

Where is Leodan Diaz Alfonso located?

Leodan Diaz Alfonso practices at 15924 SW 92nd Ave, Palmetto Bay, FL 33157. The listed phone number is (305) 964-5824.

What is Leodan Diaz Alfonso's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Leodan Diaz Alfonso enrolled in Medicare?

Yes. Leodan Diaz Alfonso is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leodan Diaz Alfonso was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.