NPIMap

Organization Active NPI

Maria Lourdes P Burgos , MD

  • Pediatrics Physician
  • Eustis, FL
National Provider Identifier
1548646334
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME 054370 Issued in FL
Legal business name
MARIA LOURDES P BURGOS , MD
Practice address
820 E Orange Ave
Eustis, FL 32726-4248
Phone
(352) 589-1999
Fax
(352) 589-5145
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Dr. Maria Lourdes P Burgos, MDNPI 1972607349
Title
Physician
Phone
(352) 255-3688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME 054370 FL Primary

Addresses

Primary practice location

820 E Orange Ave
Eustis, FL 32726-4248

Mailing address

820 E Orange Ave
Eustis, FL 32726-4248
Phone (352) 589-1999

Other identifiers 1

IdentifierTypeStateIssuer
037046100MedicaidFL

Other names 1

  • MA LOURDES P BURGOS ,MD Other name

National Provider Directory

National Provider Directory

Locations

820 E Orange Ave
Eustis, FL 32726
Phone (352) 589-1999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1548646334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E ORANGE AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264248",
            "telephone_number": "352-589-1999",
            "fax_number": "352-589-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E ORANGE AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264248",
            "telephone_number": "352-589-1999",
            "fax_number": "352-589-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA LOURDES P BURGOS , MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "BURGOS",
        "authorized_official_first_name": "MARIA LOURDES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-255-3688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 054370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037046100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MA LOURDES P BURGOS ,MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.