Edgardo Noel Rosario Burgos, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10994 Issued in PR

Practice address

Urb Country Club PQ-24
Ave El Comandante
Carolina, PR 00982

Phone

(787) 762-9409

Fax

(787) 701-1134

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospicio Gregoria Auffant Inc Hospice, San Juan, PR, CCN 401529

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Clinica Borinquen Medical Services, CSP

  • General Practice Physician
  • Carolina, PR
  • NPI 1497986574
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Servicios Suplementarios de Salud, Inc.

  • Community Based Hospice Care Agency
  • Hato Rey, PR
  • NPI 1043324874
  Care Compare affiliation

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1699765040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB COUNTRY CLUB PQ-24",
            "address_2": "AVE EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-762-9409",
            "fax_number": "787-701-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB COUNTRY CLUB PQ-24",
            "address_2": "AVE EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-762-9409",
            "fax_number": "787-701-1134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ave Isla Verde Esquina Neptuno",
            "address_2": "#63",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00982",
            "country_code": "US",
            "telephone_number": "787-727-8400",
            "fax_number": "787-727-4654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSARIO BURGOS",
        "first_name": "EDGARDO",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatriz Rosado
• Carmen Iris Rosado, DDS
• Flavia Angeles Rosado, MEDICAL TECHNOLOGIST
• Rosaleda Dental Care,PSC
• Marlene Rosario Abreu, OT/L
• Hector L Rosario Ruiz, M.T.
• Nattalia Dliz Rosario Vega, MD
• Carla Margarita Rosario-Illanas, MD
• Amy A Rosario, LND
• Gladynette Rosario, M.D.

• General Practice Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.