Ivette Burgos, REGISTERED NURSE RN

Individual provider Active NPI Registered Nurse · Hato Rey, PR

NPI 1609090570 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609090570
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
20420 (PR)
Practice address
C Sergio Cuevas Bustanante 550
Asociacion de Maestros de PR Ptossam
Hato Rey, PR 00918
Phone
(787) 763-5560
Fax
(787) 767-6600
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
20420PRMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 20420 PR Yes

Addresses

Primary practice location

C Sergio Cuevas Bustanante 550
Asociacion de Maestros de PR Ptossam
Hato Rey, PR 00918

Mailing address

HC#80 Barrio Espinosa
Buzon 7307
Dorado, PR 00646
Phone (787) 870-3370

Other providers in Hato Rey, PR

All providers in Hato Rey, PR · Registered Nurse in Puerto Rico

Sources for this page

Verify at the official NPI Registry.