Active NPI
Ricardo Javier Burgos Burgos
- Psychologist
- Morovis, PR
National Provider Identifier
1447016175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7123
- Practice address
- Carr 159 Sect la Placita KM 2.6 Bo Cuchillas
Morovis, PR 00687 - Phone
- (787) 481-2893
- NPI assigned
- Feb 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7123 | PR | Primary |
Addresses
Primary practice location
Carr 159 Sect la Placita KM 2.6 Bo Cuchillas
Morovis, PR 00687
Mailing address
19 Calle Los Lirios Urb. Russe
Morovis, PR 00687
Phone (787) 481-2893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7123 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1447016175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CALLE LOS LIRIOS URB. RUSSE",
"city": "MOROVIS",
"state": "PR",
"postal_code": "00687",
"telephone_number": "787-481-2893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 159 SECT LA PLACITA KM 2.6 BO CUCHILLAS",
"city": "MOROVIS",
"state": "PR",
"postal_code": "00687",
"telephone_number": "787-481-2893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGOS BURGOS",
"first_name": "RICARDO",
"middle_name": "JAVIER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-21",
"last_updated": "2024-02-21",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "7123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morovis, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.