Active NPIIndividual provider

Mrs. Lynnette M Burgos, LCDA

Nutritionist, Nutrition, Education in San Juan, Puerto Rico

NPI Number1124076799
Practice location
1801 Ave Ponce De Leon, Suite 412, San Juan, PR 00909-1900
Fax
787-727-5574
Last updated
August 6, 2007

Lynnette M Burgos is a Nutritionist, Nutrition, Education based in San Juan, PR. Lynnette M Burgos practices in San Juan, PR and has the professional credentials of LCDA. The NPI Number for Lynnette M Burgos is 1124076799 and holds a License No. 1234 (PR). The current practice location address for Lynnette M Burgos is 1801 Ave Ponce De Leon, Suite 412, San Juan, PR 00909-1900 and can be reached out via phone at 787-726-0440 and via fax at 787-727-5574.

Provider Profile Details

NPI Number
1124076799
Provider Name
Lynnette M Burgos
Credential
LCDA
Provider Entity Type
Individual
Gender
Female
Address
1801 Ave Ponce De Leon, Suite 412, San Juan, PR 00909-1900
Phone Number
787-726-0440
Fax Number
787-727-5574
Primary Taxonomy
Nutritionist, Nutrition, Education · 133NN1002X
Sole Proprietor
No
Provider Enumeration Date
May 5, 2006
Last Update Date
August 6, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1801 Ave Ponce De Leon
Suite 412
San Juan, PR 00909-1900
Zip
00909-1900
Phone Number
787-726-0440
Fax Number
787-727-5574
San Juan, PR 00909Get directions →

Provider Business Mailing Address Details

Address
1801 Ave Ponce De Leon
Suite 412
San Juan, PR 00909-1900
City
San Juan
State
PR
Zip
00909-1900
Phone Number
787-726-0440
Fax Number
787-727-5574

License Information

License Number
1234
License State
PR
Taxonomy
Nutritionist, Nutrition, Education · 133NN1002X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Lynnette M Burgos, LCDA?

The NPI number of Mrs. Lynnette M Burgos, LCDA is 1124076799. It was assigned on May 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Lynnette M Burgos, LCDA?

Mrs. Lynnette M Burgos, LCDA is registered under the primary taxonomy Nutritionist, Nutrition, Education (code 133NN1002X), licensed in PR under license number 1234.

Where does Mrs. Lynnette M Burgos, LCDA practice?

The practice location is 1801 Ave Ponce De Leon, Suite 412, San Juan, PR 00909-1900. The office can be reached at 787-726-0440 (phone) or 787-727-5574 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124076799 directly on the NPPES registry website.

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