Individual provider Active NPI

Yucsel Gongora Leyva

  • Non-emergency Medical Transport (VAN)
  • West Palm Beach, FL
National Provider Identifier
1386120327
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
7205936 Issued in FL
Practice address
1853 Florida Mango Rd
West Palm Beach, FL 33406-6736
Phone
(561) 510-0911
NPI assigned
Jul 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 7205936 FL Primary

Addresses

Primary practice location

1853 Florida Mango Rd
West Palm Beach, FL 33406-6736

Mailing address

1853 Florida Mango Rd
West Palm Beach, FL 33406-6736
Phone (561) 510-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7205936FLMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1386120327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 FLORIDA MANGO RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066736",
            "telephone_number": "561-510-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 FLORIDA MANGO RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066736",
            "telephone_number": "561-510-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONGORA LEYVA",
        "first_name": "YUCSEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "7205936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.