Burgos Dental Group LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

BURGOS DENTAL GROUP LLC

Practice address

PR-172 Int. PR-1
Plaza del Carmen Mall, Suite 22
San Juan, PR 00922

Phone

(787) 745-6220

NPI assigned

Feb 25, 2025

Organization subpart

No

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

Authorized official

Name

Jose Burgos Diaz

Title

President

Phone

(609) 246-8000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Ramon Burgos, DMD

  • Endodontics
  • Caguas, PR
  • NPI 1467879890
  NPD

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1235936550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10818",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR-172 INT. PR-1",
            "address_2": "PLAZA DEL CARMEN MALL, SUITE 22",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00922",
            "telephone_number": "787-745-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGOS DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-23",
        "status": "A",
        "authorized_official_last_name": "BURGOS DIAZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-246-8000"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Bultorn, TS
• Zuleika Bultron Ayala
• Aleida R Bures Miguel, D.M.D
• Sandra E Burga Rojas, MD
• Ireana Valeria Burgos Bonilla
• Michelle Burgos Fittipaldi
• Augusto Cesar Burgos Gandia, MD
• Francisco Javier Burgos Gonzalez, PHARMD
• Mayda I Burgos Gonzalez, O.D.
• Andrea Victoria Burgos Mercado

• Endodontics in San Juan, PR
• Providers in San Juan, PR by specialty
• Endodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.