Organization Active NPI

Burgos Hospital Supply Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Bayamon, PR
National Provider Identifier
1235133125
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
BURGOS HOSPITAL SUPPLY INC
Practice address
A13 Calle 13
Bayamon, PR 00957-1807
Phone
(787) 288-2702
Fax
(787) 288-2704
NPI assigned
Jun 8, 2005
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Mr. Adalberto A. Burgos
Title
President
Phone
(787) 288-2702

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PR Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 05- P 1848 PR

Addresses

Primary practice location

A13 Calle 13
Bayamon, PR 00957-1807

Mailing address

Urb. Santa Monica A13 Calle 13
Bayamon, PR 00957-1807
Phone (787) 288-2702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930027648 PR DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Respiratory Therapist 9032239579 Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

A13 Calle 13
Bayamon, PR 00956
Phone (787) 288-2702

A13 Calle Jerry Rivas Diaz
Bayamon, PR 00957
Phone (787) 288-2702

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1235133125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SANTA MONICA A13 CALLE 13",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009571807",
            "telephone_number": "787-288-2702",
            "fax_number": "787-288-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A13 CALLE 13",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009571807",
            "telephone_number": "787-288-2702",
            "fax_number": "787-288-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGOS HOSPITAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "BURGOS",
        "authorized_official_first_name": "ADALBERTO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-288-2702",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "PR",
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PR",
            "license": "05- P 1848",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.

Verify at the official NPI Registry.