person
Ivelisse Burgos
General Practice Physician in Comerio, N/A
NPI 1023059383

Ivelisse Burgos is a General Practice Physician based in Toa Alta, . Ivelisse Burgos practices in Comerio, . The NPI Number for Ivelisse Burgos is 1023059383 and holds a License No. 14476 (N/A).

The current practice location address for Ivelisse Burgos is 18 Calle Georgetti, Comerio, and can be reached out via phone at 787-875-3375.

Location: 18 Calle Georgetti, Comerio, , 00953-4926
person
Provider Profile Details
NPI Number
1023059383
Provider Name
Ivelisse Burgos
Credential
Provider Entity Type
Individual
Gender
Female
Address
18 Calle Georgetti, Comerio, , 00953-4926
Phone Number
787-875-3375
Fax Number
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21087 01 PR TRIPLE S
institution
Provider Business Practice Location Address Details
Address
18 Calle Georgetti
City
State
Zip
00782-2539
Phone Number
787-875-3375
Fax Number
person
Provider Business Mailing Address Details
Address
18 Calle Georgetti
City
State
Zip
00782-2539
Phone Number
787-875-3375
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
14476 ()
Definition
Definition to come...
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