Individual provider Active NPI

Gloria E Burgos, MD

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1003928292
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME66837 Issued in FL
Practice address
3601 Federal Hwy
Miami, FL 33137-3795
Phone
(305) 576-6611
Fax
(305) 576-0008
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME66837 FL Primary

Addresses

Primary practice location

3601 Federal Hwy
Miami, FL 33137-3795

Mailing address

3601 Federal Hwy
Miami, FL 33137-3795
Phone (305) 576-6611

Other identifiers 2

IdentifierTypeStateIssuer
28312Y - EFF 8-31-10OtherFLMEDICARE
378912800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080619000588 FL Practitioner - Pediatric Medicine 0042381998 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Borinquen Health Care Center, Inc. Current Accepting new patients
Borinquen Health Care Center, Inc. CurrentSince Aug 31, 2010 Accepting new patients
Borinquen Health Care Center, Inc. CurrentSince Aug 31, 2010 Accepting new patients

Locations

3601 Federal Hwy
Miami, FL 33137

10528 SW 8th St
Miami, FL 33174
Phone (305) 552-1201

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8506/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gloria.burgos.1@8506.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1003928292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 FEDERAL HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373795",
            "telephone_number": "305-576-6611",
            "fax_number": "305-576-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 FEDERAL HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373795",
            "telephone_number": "305-576-6611",
            "fax_number": "305-576-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "GLORIA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME66837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "28312Y - EFF 8-31-10",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378912800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.