Provider Demographics
NPI:1063420412
Name:PEREZ-LIMONTE, LEONEL (MD, MS-HQPS, MHL)
Entity type:Individual
Prefix:DR
First Name:LEONEL
Middle Name:
Last Name:PEREZ-LIMONTE
Suffix:
Gender:M
Credentials:MD, MS-HQPS, MHL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 LENOX AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2415
Mailing Address - Country:US
Mailing Address - Phone:305-495-6503
Mailing Address - Fax:
Practice Address - Street 1:2420 W PIERCE ST STE 101
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-3517
Practice Address - Country:US
Practice Address - Phone:575-628-0107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMD-2012-06612084N0008X
FLME00546862084N0400X, 2084P0301X
NMMD-2012-06612084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine
No2084P0301XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBrain Injury Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL09761OtherBCBS
FL592157762OtherTAX I.D. NUMBER
FLE63452Medicare UPIN
FL09761SMedicare ID - Type UnspecifiedMEDICARE