Active NPI
Gustavo Burgos
- Registered Nurse
- Yabucoa, PR
National Provider Identifier
1629439682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 78149G
- Practice address
- Carr 901 Kil 4
Barrio Camino Nuevo HM8
Yabucoa, PR 00767 - Phone
- (787) 641-0774
- NPI assigned
- Mar 17, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 78149G | PR | Primary |
Addresses
Primary practice location
Carr 901 Kil 4
Barrio Camino Nuevo HM8
Yabucoa, PR 00767
Mailing address
HC 1 Box 4571
Yabucoa, PR 00767-9648
Phone (787) 449-9446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78149G | PR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1629439682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 4571",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007679648",
"telephone_number": "787-449-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 901 KIL 4",
"address_2": "BARRIO CAMINO NUEVO HM8",
"city": "YABUCOA",
"state": "PR",
"postal_code": "00767",
"telephone_number": "787-641-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGOS",
"first_name": "GUSTAVO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-17",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "78149G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yabucoa, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.