Agustin Burgos, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME78600 Issued in FL

Practice address

1367 S University Drive
Plantation, FL 33324-4000

Phone

(954) 474-1113

Fax

(954) 382-4910

NPI assigned

Nov 6, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467531632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 WATERSIDE CIRCLE",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272030",
            "telephone_number": "954-474-1113",
            "fax_number": "954-382-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 S UNIVERSITY DRIVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244000",
            "telephone_number": "954-474-1113",
            "fax_number": "954-382-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "AGUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME78600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUMED",
            "identifier": "274451",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "47137",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander F Bulnes, DNP, CRNA
• Samantha Frances Bunting, DO
• Jesinio S Bunyi, MD
• Marlena Buonasorte, MD
• Stuart Kevin Burgess, M.D.
• Shakera Burke
• Lindsay Marie Burks
• Susan Bruno Burns
• Alexander Burpee, DO
• Lory Toussaint Burton

• Surgery Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.