Nydia Ivette Burgos Ortega
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Guaynabo, PR
NPI 1215313986 · NPPES record last updated Apr 21, 2022
Key facts
- NPI
- 1215313986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 19944 (PR)
- Practice address
- 101 Ave San Patricio Ste 1070
Guaynabo, PR 00968-3048 - Phone
- (787) 221-7540
- NPI assigned
- Aug 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Endocrinology
- Education
- University of Puerto Rico School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Salud Integral En la Montana Inc
Practice addresses (Care Compare)
101 Ave San Patricio
Guaynabo, PR 00968-2645
Phone (787) 509-6877
12 2 Carr 152 KM
Naranjito, PR 00719
Carr 155 Ave Luis Munoz Marin
Orocovis, PR 00719
Phone (787) 867-6010
Carr 164 Sector El Desvio
Bo Achiote
Naranjito, PR 00719
Phone (787) 869-1290
PO Box
Naranjito, PR 00719
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220915000008 | PR | Practitioner - Endocrinology |
8628453438 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019944 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Integral En la Montana, Inc. | Single Specialty | Current | Accepting new patients |
| Salud Integral En la Montana, Inc | Current |
Accepting new patients | |
| Panacea Salud LLC | Single Specialty | Current |
Accepting new patients |
| Salud Integral En la Montana, Inc | Single Specialty | Current |
Accepting new patients |
| Salud Integral En la Montana, Inc | Single Specialty | Current | Accepting new patients |
| Salud Integral En la Montana, Inc | Single Specialty | Current | Accepting new patients |
| Salud Integral En la Montana, Inc | Single Specialty | Current |
Accepting new patients |
| Salud Integral En la Montana, Inc. | Single Specialty | Current |
Accepting new patients |
| Salud Integral En la Montana, Inc | Single Specialty | Current | Accepting new patients |
| Salud Integral En la Montana, Inc | Single Specialty | Current |
Accepting new patients |
| Salud Integral En la Montana, Inc | Current |
Accepting new patients | |
| Salud Integral En la Montana, Inc | Single Specialty | Current |
Accepting new patients |
| Salud Integral En la Montana, Inc. | Single Specialty | Current | Accepting new patients |
Locations
156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688
101 Ave San Patricio
Ste 1070
Guaynabo, PR 00968
Phone (787) 221-7540
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 019944 | PR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | 19944 | PR | Yes |
Addresses
Primary practice location
101 Ave San Patricio Ste 1070
Guaynabo, PR 00968-3048
Mailing address
PO Box 192082
San Juan, PR 00919-2082
Phone (787) 221-7540
Other providers in Guaynabo, PR
- Ricardo Burgos Crespo
- Orlando Burgos Cruz
- Christian A Burgos Hernandez
- Alberto Burgos Leon
- Evelyn Burgos Matos
- Natalia Carolina Burgos Russe
- Arlene A Burgos Sosa
- Jessica Burgos Torres
- Helen Burgos
- Enrique R Bursian
All providers in Guaynabo, PR · Endocrinology, Diabetes & Metabolism Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.