Ivelisse Burgos

NPI 1023059383 - General Practice - 208D00000X

NPI Details
NPI 1023059383
Gender Female
Enumeration Date 06/09/2006
Last Updated 09/09/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
18 CALLE GEORGETTI
COMERIO PR, 00782-2539, US
Phone (787) 875-3375
Fax
Business Location
PALACIOS REALES #100 C/BARBERINI
TOA ALTA PR, 00953-4926, US
Phone (787) 999-2899
Fax (787) 999-2899
Toxanomy
Taxonomy Code 208D00000X
License State Puerto Rico
License Number 14476
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According to our database, Ivelisse Burgos NPI is 1023059383, taxonomy code is 208D00000X and license number is 14476, license state is located at Puerto Rico. Ivelisse Burgos physically located at 18 Calle Georgetti, Comerio PR, 00782-2539. NPI Number Ivelisse Burgos has the Individual type.

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1023059383 NPI number is provided on an as is basis without warranty of any kind. 1023059383 is maintained by the National Plan & Provider Enumeration System. The contents of Ivelisse Burgos are for informational purposes only.