Hector Ivan Burgos in Pine Ridge - Specialist
Hector Ivan Burgos - NPI 1609852490
Hector Ivan Burgos is a Specialist in Pine Ridge, South Dakota. Hector Ivan Burgos practices all healthcare services and medical treatments related to Specialist. The NPI Number for Hector Ivan Burgos is 1609852490. The last update date is 2012-01-09.
Hector Ivan Burgos's current location address is Po Box 1201, Pine Ridge, South Dakota. You can contact this provider via phone number 6058673273 and fax number 6058673271. The mailing address for Hector Ivan Burgos is Po Box 1201, Pine Ridge, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hector Ivan Burgos |
|---|---|
| Address | Po Box 1201, Pine Ridge, South Dakota |
| Phone Number | 6058673273 |
| Fax Number | 6058673271 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1609852490 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2012-01-09 |
Provider Mailing Address Detail
| Address | Po Box 1201 |
|---|---|
| City | Pine Ridge |
| State | South Dakota (SD) |
| Post Code | 577701201 |
| Phone Number | 6058673273 |
| Fax Number | 6058673271 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 9942 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the Hector Ivan Burgos's unique identification number?
The Hector Ivan Burgos has been assigned the NPI (National Provider Identifier) Number 1609852490 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Hector Ivan Burgos's facilities are geographically located?
The facilities of Hector Ivan Burgos are physically situated at the following location: Po Box 1201, Pine Ridge, SD, 577701201.
What is Hector Ivan Burgos's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Hector Ivan Burgos is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When did the Hector Ivan Burgos receive its 1609852490?
The Hector Ivan Burgos was issued its 1609852490 on 2005-12-22, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Hector Ivan Burgos most recently updated or revised?
The information pertaining to Hector Ivan Burgos, including its address, specialty, and other relevant details, was last updated or revised on 2012-01-09.