OrganizationLester De Leon Md PaGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address4155 SW 136th Ave, Miami, FL 33175-3253(786) 536-7614PECOS EnrollmentBased on the most recent information from CMS, provider Lester De Leon Md Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1164796090Provider TypeOrganizationFull NameLester De Leon Md PaSubpartNoEnumeration Date2/23/2012Last Updated2/23/2012Contact InformationPractice LocationPractice Address4155 SW 136th Ave, Miami, FL 33175-3253Phone(786) 536-7614FaxUnlisted FaxMailing LocationMailing Address4155 SW 136th Ave, Miami, FL 33175-3253PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameDe Leon, Lester (President)Phone(786) 259-5449Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseME111208Florida