Ivelisse Burgos in Toa Alta - General Practice

Ivelisse Burgos - NPI 1023059383

Ivelisse Burgos is a General Practice in Toa Alta, Puerto Rico. Ivelisse Burgos practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ivelisse Burgos is 1023059383. The last update date is 2010-09-09.

Ivelisse Burgos's current location address is Palacios Reales #100 C/barberini, Toa Alta, Puerto Rico. You can contact this provider via phone number 7879992899 and fax number 7879992899. The mailing address for Ivelisse Burgos is Palacios Reales #100 C/barberini, Toa Alta, Puerto Rico. To know further, please read the information below!

Provider Profile Detail

Provider Name Ivelisse Burgos
Address Palacios Reales #100 C/barberini, Toa Alta, Puerto Rico
Phone Number 7879992899
Fax Number 7879992899
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1023059383
Provider Enumeration Date 2006-06-09
Last Updated Date 2010-09-09

Provider Mailing Address Detail

Address Palacios Reales #100 C/barberini
City Toa Alta
State Puerto Rico (PR)
Post Code 9534926
Phone Number 7879992899
Fax Number 7879992899

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 14476
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
21087 PR TRIPLE S

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FAQs about Ivelisse Burgos

What is the unique identifier code issued to Ivelisse Burgos by the Centers for Medicare & Medicaid Services (CMS)?

The Ivelisse Burgos has been assigned the NPI (National Provider Identifier) 1023059383. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Ivelisse Burgos is located?

The Ivelisse Burgos is situated at the following address: Palacios Reales #100 C/Barberini, Toa Alta, PR, 9534926.

What is the area of specialization for Ivelisse Burgos, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ivelisse Burgos is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.

On what date did the Ivelisse Burgos receive the assignment of its 1023059383 from the Centers for Medicare & Medicaid Services?

The Ivelisse Burgos was issued its 1023059383 by the Centers for Medicare & Medicaid Services on 2006-06-09.

As of what date was the information pertaining to Ivelisse Burgos, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ivelisse Burgos, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-09-09.

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