Elma Diaz Burgos, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

513 Issued in PR

Practice address

348 Calle B Victor Rojas II
Suite 3
Arecibo, PR 00612

Phone

(787) 879-6659

Fax

(787) 879-6659

NPI assigned

Oct 21, 2009

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 names 1

• Elma Diaz Burgos Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1710213038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460707",
            "telephone_number": "787-879-6659",
            "fax_number": "787-879-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 CALLE B VICTOR ROJAS II",
            "address_2": "SUITE 3",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-879-6659",
            "fax_number": "787-879-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ BURGOS",
        "first_name": "ELMA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELMA",
            "last_name": "BURGOS",
            "middle_name": "DIAZ",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Departamento de Salud Oficial
• Dermacentro Instituto de Piel Y Cancer PSC
• Marcos Devarie Hornedo, M.D.
• Paolo Di Pietro Sr., NL, MSC, PHD, RAD
• Diagnosis Mental Health Clinic'S LLC
• Lorena Michelle Diaz Colon, MD
• Diaz Ferreira Corp
• Yamilette Marvilla Diaz Ferreira, BS, PHARMD
• Ramon Enrique Diaz Rodriguez, MD
• Jesus Antonio Diaz Torres, MT ASCP

• Optometrist in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.