Iker Leycegui, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME95881 Issued in FL

Legal business name

IKER LEYCEGUI, M.D., P.A.

Doing business as

MEDiker

Practice address

145 Central Park West
Suite 101
Port Saint Lucie, FL 34986

Phone

(772) 873-1919

NPI assigned

Feb 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Iker Leycegui, M.D.

Title

Director, Sole Owner, Physician

Phone

(772) 873-1919

Specialties & licenses 1

Addresses

Other names 1

• MEDiker Doing business as

Locations

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1427380708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880472",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349880472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CENTRAL PARK WEST",
            "address_2": "SUITE 101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34986",
            "telephone_number": "772-873-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKER LEYCEGUI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "LEYCEGUI",
        "authorized_official_first_name": "IKER",
        "authorized_official_title_or_position": "DIRECTOR, SOLE OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "772-873-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME95881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDiker",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.