Idalia Burgos, LND

Primary specialty

NutritionistTaxonomy code 133N00000X

License

114 Issued in PR

Practice address

1017 Calle Gen del Valle
Urb Las Delicias
San Juan, PR 00924-3722

Phone

(787) 376-4116

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710031661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B40 CALLE 2",
            "address_2": "URB.PASEO LAS VISTAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265951",
            "telephone_number": "787-376-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 CALLE GEN DEL VALLE",
            "address_2": "URB LAS DELICIAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243722",
            "telephone_number": "787-376-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "IDALIA",
        "name_prefix": "Mrs.",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "3264",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "NUT 005",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLAN",
            "identifier": "9240091",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC",
            "identifier": "50338",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nashda Cristina Burgos-Muniz, MD
• Glorymar Burgos-Rivera, M.A., M.A.
• Barbara L Burgos, BACH
• Frances M. Burgos, RPH
• Gloria Burgos
• Johanna Burgos
• Jose L Burgos, OPTICIAN
• Luisa Burgos, MD
• Lynnette M Burgos, LCDA
• Marian Burgos, PSYD

• Nutritionist in San Juan, PR
• Providers in San Juan, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.