Individual provider Active NPI

Atalia Cristina Rodriguez Burgos, MD

  • General Practice Physician
  • Orocovis, PR
National Provider Identifier
1467158014
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23870 Issued in PR
Practice address
Avenida Luis Munoz Marin
Oro Office Center
Orocovis, PR 00720
Phone
(787) 867-3810
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 16437-I PR
General Practice Physician 208D00000X 23870 PR Primary

Addresses

Primary practice location

Avenida Luis Munoz Marin
Oro Office Center
Orocovis, PR 00720

Mailing address

PO Box 1225
Orocovis, PR 00720-1225
Phone (787) 649-5646

Other practice location 1

Calle Hernandez Carrion Carr #2, interseccion 668
Urbanizacion Atenas
Manati, PR 00674-1142
Phone (787) 621-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16437-IPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia Minelly Inc PastSince Feb 12, 2023 Accepting new patients

Organizations & group practices 1

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1467158014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1225",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "007201225",
            "telephone_number": "787-649-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA LUIS MUNOZ MARIN",
            "address_2": "ORO OFFICE CENTER",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "00720",
            "telephone_number": "787-867-3810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Hernandez Carrion Carr #2, interseccion 668",
            "address_2": "Urbanizacion Atenas",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "006741142",
            "country_code": "US",
            "telephone_number": "787-621-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ BURGOS",
        "first_name": "ATALIA",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "16437-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orocovis, PR

Sources for this page

Verify at the official NPI Registry.