Individual provider Active NPI

Miguel A Rodriguez Burgos, M.D.

  • Cardiovascular Disease Physician
  • Juncos, PR
National Provider Identifier
1083670038
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6167 Issued in PR
Practice address
33 Calle Munoz Rivera
Urb. Madrid
Juncos, PR 00777-3116
Phone
(787) 713-6801
Fax
(787) 734-4129
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 6167 PR Primary

Addresses

Primary practice location

33 Calle Munoz Rivera
Urb. Madrid
Juncos, PR 00777-3116

Mailing address

PO Box 1731
Juncos, PR 00777-1731
Phone (787) 713-6801

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
I20050314000413 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507811577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neomed Center, IncGroup PAC ID 1850284100, 66 clinicians

Practice addresses (Care Compare)

33 Calle Munoz Rivera
Juncos, PR 00777-3116
Phone (787) 713-6801

PO Box
Suite 1277
Gurabo, PR 00778-1277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6167PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Neomed Center, Inc Current Accepting new patients
Cardiologia Medica Integrada, Inc. Cardiovascular Disease CurrentSince Feb 22, 2012 Accepting new patients
Cardio and Vascular Unlimited Services C.S.P Cardiovascular Disease PastSince Feb 22, 2012 Accepting new patients

Locations

33 Calle Munoz Rivera
Juncos, PR 00777
Phone (787) 713-0801

Organizations & group practices 4

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1083670038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1731",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007771731",
            "telephone_number": "787-713-6801",
            "fax_number": "787-734-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CALLE MUNOZ RIVERA",
            "address_2": "URB. MADRID",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007773116",
            "telephone_number": "787-713-6801",
            "fax_number": "787-734-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ BURGOS",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "6167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juncos, PR

Sources for this page

Verify at the official NPI Registry.