David A Bushberg, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11249 Issued in PR

Practice address

100 Grand Blvd
Galeria Paseos Mall Suite 106-a
San Juan, PR 00926-5955

Phone

(787) 761-6093

Fax

(787) 761-6053

NPI assigned

Feb 19, 2006

Last updated

Dec 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro de Servicios Medicos Integrados

  • Clinic/Center
  • Bayamon, PR
  • NPI 1619048006
  NPD (past)

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

{
    "created_epoch": "1140307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260662400000",
    "number": "1346215860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND BLVD",
            "address_2": "SUITE 112, PMB 491",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265955",
            "telephone_number": "787-761-6093",
            "fax_number": "787-761-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND BLVD",
            "address_2": "GALERIA PASEOS MALL SUITE 106-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265955",
            "telephone_number": "787-761-6093",
            "fax_number": "787-761-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHBERG",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-19",
        "last_updated": "2009-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "11249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Burgos, PSYD
• Sonia Burgos, MSW
• Wanda E Burgos, RPH
• Carolyn Yvette Burleson Martinez, D.M.D.
• Vivianne Marie Burns
• Joanna M Busquets Ferriol, MD
• Busquets Plastic Surgery
• Carlos J Busquets, DMD
• Celimar Busquets, D.M.D.
• David Jaime Busquets, D.M.D.

• Family Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2009; 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.