Active NPIIndividual providerSole proprietor

Dr. Bolivar Burgos

Pediatrics, Adolescent Medicine in Humacao, Puerto Rico

NPI Number1760467922
Practice location
110E Ave Font Martelo, Humacao, PR 00791-3928
Fax
787-852-5568
Last updated
December 12, 2012

Bolivar Burgos is a Pediatrics, Adolescent Medicine based in Humacao, PR. Bolivar Burgos practices in Humacao, PR. The NPI Number for Bolivar Burgos is 1760467922 and holds a License No. 5730 (PR). The current practice location address for Bolivar Burgos is 110E Ave Font Martelo, Humacao, PR 00791-3928 and can be reached out via phone at 787-852-5568 and via fax at 787-852-5568.

Provider Profile Details

NPI Number
1760467922
Provider Name
Bolivar Burgos
Provider Entity Type
Individual
Gender
Male
Address
110E Ave Font Martelo, Humacao, PR 00791-3928
Phone Number
787-852-5568
Fax Number
787-852-5568
Primary Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X
Sole Proprietor
Yes
Provider Enumeration Date
December 9, 2005
Last Update Date
December 12, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
110E Ave Font Martelo
Humacao, PR 00791-3928
Zip
00791-3928
Phone Number
787-852-5568
Fax Number
787-852-5568
Humacao, PR 00791Get directions →

Provider Business Mailing Address Details

Address
Po Box 313
110E Font Martelo St.
Humacao, PR 00792-0313
City
Humacao
State
PR
Zip
00792-0313
Phone Number
787-852-5568
Fax Number
787-852-5568

License Information

License Number
5730
License State
PR
Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X · 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. Bolivar Burgos?

The NPI number of Dr. Bolivar Burgos is 1760467922. It was assigned on December 9, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Bolivar Burgos?

Dr. Bolivar Burgos is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in PR under license number 5730.

Where does Dr. Bolivar Burgos practice?

The practice location is 110E Ave Font Martelo, Humacao, PR 00791-3928. The office can be reached at 787-852-5568 (phone) or 787-852-5568 (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 1760467922 directly on the NPPES registry website.

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