Individual provider Active NPI

Huascar A Barros Burgos, MD

  • General Practice Physician
  • Trujillo Alto, PR
National Provider Identifier
1013950948
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16194 Issued in PR
Practice address
28 Calle Munoz Rivera
Trujillo Alto, PR 00976-5933
Phone
(787) 760-6604
Fax
(787) 292-0130
NPI assigned
Jun 14, 2006
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16194 PR Primary

Addresses

Primary practice location

28 Calle Munoz Rivera
Trujillo Alto, PR 00976-5933

Mailing address

Ave Fernandez Juncos
Box 8689
San Juan, PR 00907-3181
Phone (787) 528-8050

Other identifiers 1

IdentifierTypeStateIssuer
16194OtherPRLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20060302000278 PR Practitioner - General Practice 6901812726 Practice locations: San Juan, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lba Medical Services Inc General Practice PastSince Sep 5, 2017 Accepting new patients
CSM Servicios de Cuidado Inc. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1013950948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE FERNANDEZ JUNCOS",
            "address_2": "BOX 8689",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073181",
            "telephone_number": "787-528-8050",
            "fax_number": "787-784-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CALLE MUNOZ RIVERA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009765933",
            "telephone_number": "787-760-6604",
            "fax_number": "787-292-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARROS BURGOS",
        "first_name": "HUASCAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "16194",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.