Individual provider Active NPI

Adisbeth Morales Burgos, M.D.

  • Procedural Dermatology Physician
  • Hato Rey, PR
National Provider Identifier
1447458765
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
16921 Issued in PR
Practice address
735 Ave Ponce de Leon
Torre Medica Auxilio Mutuo Suite 802
Hato Rey, PR 00917-5022
Phone
(787) 296-0944
Fax
(787) 545-1762
NPI assigned
Jul 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 16921 PR
Procedural Dermatology Physician 207NS0135X 16921 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon
Torre Medica Auxilio Mutuo Suite 802
Hato Rey, PR 00917-5022

Mailing address

Ave Lopategui # 50
Parkville Plaza Apt 105
Guaynabo, PR 00969-4595
Phone (787) 914-7935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091001000542 PR Practitioner - Dermatology 1254477490 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

735 Ave Ponce de Leon
Suite 802
San Juan, PR 00917-5030
Phone (787) 296-0944

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26
Removal of skin lesions133
Removal of skin cancer404
Skin biopsy163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16921PRMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Sep 22, 2010 Accepting new patients
Recinto de Ciencias Medicas Dermatology CurrentSince Sep 22, 2010 Accepting new patients
Recinto de Ciencias Medicas Past Accepting new patients
Am Skin Surgery PSC Procedural Dermatology Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1447458765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE LOPATEGUI # 50",
            "address_2": "PARKVILLE PLAZA APT 105",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694595",
            "telephone_number": "787-914-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "TORRE MEDICA AUXILIO MUTUO SUITE 802",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-296-0944",
            "fax_number": "787-545-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES BURGOS",
        "first_name": "ADISBETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "16921",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PR",
            "license": "16921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.