Active NPIIndividual providerSole proprietor

Dr. Ileana K Burgos Gomez, PSYD

Psychologist, Clinical in Bayamon, Puerto Rico

NPI Number1497389290
Practice location
Metro Medical Center, Suite A 801 Torre A 995 Pr-2, Bayamon, PR 00959
Fax
—
Last updated
January 4, 2022

Ileana K Burgos Gomez is a Psychologist, Clinical based in Bayamon, PR. Ileana K Burgos Gomez practices in Bayamon, PR and has the professional credentials of PSYD. The NPI Number for Ileana K Burgos Gomez is 1497389290 and holds a License No. 6463 (PR). The current practice location address for Ileana K Burgos Gomez is Metro Medical Center, Suite A 801 Torre A 995 Pr-2, Bayamon, PR 00959 and can be reached out via phone at 787-672-5384.

Provider Profile Details

NPI Number
1497389290
Provider Name
Ileana K Burgos Gomez
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
Metro Medical Center, Suite A 801 Torre A 995 Pr-2, Bayamon, PR 00959
Phone Number
787-672-5384
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 2, 2020
Last Update Date
January 4, 2022
Certification Date
December 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
Metro Medical Center
Suite A 801 Torre A 995 Pr-2
Bayamon, PR 00959
Zip
00959
Phone Number
787-672-5384
Bayamon, PR 00959Get directions →

Provider Business Mailing Address Details

Address
Hc 2 Box 6159
Bajadero, PR 00616-9761
City
Bajadero
State
PR
Zip
00616-9761
Phone Number
787-983-9161

License Information

License Number
6463
License State
PR
Taxonomy
Psychologist, Clinical · 103TC0700X · 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 Dr. Ileana K Burgos Gomez, PSYD?

The NPI number of Dr. Ileana K Burgos Gomez, PSYD is 1497389290. It was assigned on March 2, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Ileana K Burgos Gomez, PSYD?

Dr. Ileana K Burgos Gomez, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 6463.

Where does Dr. Ileana K Burgos Gomez, PSYD practice?

The practice location is Metro Medical Center, Suite A 801 Torre A 995 Pr-2, Bayamon, PR 00959. The office can be reached at 787-672-5384 (phone).

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 1497389290 directly on the NPPES registry website.

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