Active NPI
Burgos Dental LLC
- Dental Clinic/Center
- Salinas, PR
National Provider Identifier
1043045602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- BURGOS DENTAL LLC
- Practice address
- 36 Abraham Pena & Carrion Maduro STS.
Salinas, PR 00751 - Phone
- (787) 866-5227
- NPI assigned
- Sep 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isamar Burgos Lopez
- Title
- President
- Phone
- (787) 202-5881
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
36 Abraham Pena & Carrion Maduro STS.
Salinas, PR 00751
Mailing address
PO Box 776
Salinas, PR 00751-0776
Phone (787) 866-5227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Guayama, PR
- NPI 1235497991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725408000000",
"number": "1043045602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776",
"city": "SALINAS",
"state": "PR",
"postal_code": "007510776",
"telephone_number": "787-866-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 ABRAHAM PENA & CARRION MADURO STS.",
"city": "SALINAS",
"state": "PR",
"postal_code": "00751",
"telephone_number": "787-866-5227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURGOS DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-04",
"last_updated": "2024-09-04",
"certification_date": "2024-08-29",
"status": "A",
"authorized_official_last_name": "BURGOS LOPEZ",
"authorized_official_first_name": "ISAMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-202-5881"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salinas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.