Provider Demographics
NPI:1063552859
Name:J LEON CAPITAL CORP
Entity type:Organization
Organization Name:J LEON CAPITAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-652-5707
Mailing Address - Street 1:20401 NW 2ND AVE
Mailing Address - Street 2:202
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-2542
Mailing Address - Country:US
Mailing Address - Phone:305-652-5707
Mailing Address - Fax:305-652-5708
Practice Address - Street 1:20401 NW 2ND AVE
Practice Address - Street 2:202
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-2542
Practice Address - Country:US
Practice Address - Phone:305-652-5707
Practice Address - Fax:305-652-5708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5920780001Medicare NSC