Individual ProviderRainel Leon LeonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address16121 SW 109th Ave, Miami, FL 33157-2809(786) 308-9977PECOS EnrollmentBased on the most recent information from CMS, provider Rainel Leon Leon 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 2 days ago.Profile DetailsProvider ID1295334738Provider TypeIndividualFull NameLeon Leon, RainelTitleMr.GenderMaleSole ProprietorNoEnumeration Date10/24/2020Last Updated10/24/2020Contact InformationPractice LocationPractice Address16121 SW 109th Ave, Miami, FL 33157-2809Phone(786) 308-9977FaxUnlisted FaxMailing LocationMailing Address16121 SW 109th Ave, Miami, FL 33157-2809PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11009860Florida