Ivelisse Burgos

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14476 Issued in PR

Practice address

18 Calle Georgetti
Comerio, PR 00782-2539

Phone

(787) 875-3375

NPI assigned

Jun 9, 2006

Last updated

Sep 9, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salud Integral En la Montana IncGroup PAC ID 8527972827, shared by 11 NPIs, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Corozal, PR
  • NPI 1184647851

  General Practice

  Medicare reassignment NPD
• Salud Integral En la Montana, Inc.

  • Federally Qualified Health Center (FQHC)
  • Barranquitas, PR
  • NPI 1316970833
  Medicare reassignment NPD
• Salud Integral En la Montana, Inc.

  dba Centro de Salud Integral en Toa Alta

  • Federally Qualified Health Center (FQHC)
  • Toa Alta, PR
  • NPI 1639372618

  General Practice

  Medicare reassignment NPD
• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Comerio, PR
  • NPI 1275556946
  Medicare reassignment
• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Naranjito, PR
  • NPI 1578586244
  Medicare reassignment
• Salud Integral En la Montana, Inc

  dba Centro de Salud Integral En Bayamon

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
  • NPI 1740772102
  NPD
• Salud Integral En la Montana, Inc.

  • Federally Qualified Health Center (FQHC)
  • Toa Alta, PR
  • NPI 1609250935

  General Practice

  NPD

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1023059383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PALACIOS REALES #100 C/BARBERINI",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009534926",
            "telephone_number": "787-999-2899",
            "fax_number": "787-999-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CALLE GEORGETTI",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "007822539",
            "telephone_number": "787-875-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "IVELISSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "21087",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• All People Eye Care LLC
• Frances M. Alvarez Luna, RDN
• Leissa Bermudez
• Jesus Berrios, MA.
• Carlos Manuel Bonet Vazquez
• Jorge L Cabrera Rosario, DMD
• Margarita Cabrera
• Cardiostat Medical Testing Services
• Emily Cardona, MSW
• Maribel Cartagena, SLP

• General Practice Physician in Comerio, PR
• Providers in Comerio, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.