Active NPIIndividual providerSole proprietor

Mayda I Burgos Gonzalez, OD

Optometrist in San Juan, Puerto Rico

NPI Number1760504872
Practice location
Plaza Las Americas # 560, Teodoro Roosvelt, San Juan, PR 00918
Fax
—
Last updated
April 30, 2020

Mayda I Burgos Gonzalez is an Optometrist based in San Juan, PR. Mayda I Burgos Gonzalez practices in San Juan, PR and has the professional credentials of OD. The NPI Number for Mayda I Burgos Gonzalez is 1760504872 and holds a License No. 313 (PR). The current practice location address for Mayda I Burgos Gonzalez is Plaza Las Americas # 560, Teodoro Roosvelt, San Juan, PR 00918 and can be reached out via phone at 787-298-1356.

Provider Profile Details

NPI Number
1760504872
Provider Name
Mayda I Burgos Gonzalez
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
Plaza Las Americas # 560, Teodoro Roosvelt, San Juan, PR 00918
Phone Number
787-298-1356
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 6, 2007
Last Update Date
April 30, 2020
Certification Date
April 30, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Plaza Las Americas # 560
Teodoro Roosvelt
San Juan, PR 00918
Zip
00918
Phone Number
787-298-1356
San Juan, PR 00918Get directions →

Provider Business Mailing Address Details

Address
ER 44
Via Enramada
Trujillo Alto, PR 00976
City
Trujillo Alto
State
PR
Zip
00976
Phone Number
787-298-1356

License Information

License Number
313
License State
PR
Taxonomy
Optometrist · 152W00000X · 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 Mayda I Burgos Gonzalez, OD?

The NPI number of Mayda I Burgos Gonzalez, OD is 1760504872. It was assigned on April 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Mayda I Burgos Gonzalez, OD?

Mayda I Burgos Gonzalez, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PR under license number 313.

Where does Mayda I Burgos Gonzalez, OD practice?

The practice location is Plaza Las Americas # 560, Teodoro Roosvelt, San Juan, PR 00918. The office can be reached at 787-298-1356 (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 1760504872 directly on the NPPES registry website.

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