Active NPI
Maricarmen Burgos Rios
- Neonatal-Perinatal Medicine Physician
- Trujillo Alto, PR
National Provider Identifier
1699115493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 19321
- Practice address
- BH17 Plaza 17
Trujillo Alto, PR 00976-6056 - Phone
- (787) 748-2665
- NPI assigned
- Jun 26, 2013
- Last updated
- May 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 29321-R | PR | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 19321 | PR | Primary |
Addresses
Primary practice location
BH17 Plaza 17
Trujillo Alto, PR 00976-6056
Mailing address
BH17 Plaza 17
Trujillo Alto, PR 00976-6056
Phone (787) 748-2665
Other names 1
- Mari Carmen Burgos
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 |
|---|---|---|---|
| 29321-R | PR | MD | Pediatrics Physician |
| 19321 | PR | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayaguez Medical Center Dr Ramon Emeterio Betances Inc | Past | Accepting new patients | |
| Dorado Health Inc | Past | Accepting new patients | |
| Bayamon Medical Center Corp | Past | Accepting new patients |
Interoperability endpoints
- sjcmaburgo@yourcarecommunity.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Bayamon, PR
- NPI 1912930488
-
- General Acute Care Hospital
- Mayaguez, PR
- NPI 1013140383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1699115493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BH17 PLAZA 17",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009766056",
"telephone_number": "787-748-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BH17 PLAZA 17",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009766056",
"telephone_number": "787-748-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGOS RIOS",
"first_name": "MARICARMEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "29321-R",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "PR",
"license": "19321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARI",
"last_name": "BURGOS",
"middle_name": "CARMEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.