Active NPI
Ireana Valeria Burgos Bonilla
- Student in an Organized Health Care Education/Training Program
- San Juan, PR
National Provider Identifier
1033933320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 47439
- Practice address
- 997 Calle San Roberto
San Juan, PR 00926-2759 - Phone
- (787) 773-6501
- NPI assigned
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 47439 | FL | Primary |
Addresses
Primary practice location
997 Calle San Roberto
San Juan, PR 00926-2759
Mailing address
Urb. Rose Valley 56 Calle Rose
Morovis, PR 00687
Phone (787) 717-7080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47439 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1033933320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. ROSE VALLEY 56 CALLE ROSE",
"city": "MOROVIS",
"state": "PR",
"postal_code": "00687",
"telephone_number": "787-717-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 CALLE SAN ROBERTO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009262759",
"telephone_number": "787-773-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGOS BONILLA",
"first_name": "IREANA",
"middle_name": "VALERIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "47439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.