Active NPI
Pedro J Rodriguez Burgos, M.D.
- Pediatrics Physician
- Juana Diaz, PR
National Provider Identifier
1740217215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 6626
- Practice address
- Tomas Carrion Maduro St #29 Altos
Juana Diaz, PR 00795 - Phone
- (787) 837-0562
- Fax
- (787) 260-0885
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 6626 | PR | Primary |
Addresses
Primary practice location
Tomas Carrion Maduro St #29 Altos
Juana Diaz, PR 00795
Mailing address
PO Box 1434
Juana Diaz, PR 00795-1434
Phone (787) 837-0562
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6626 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364169600000",
"number": "1740217215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1434",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "007951434",
"telephone_number": "787-837-0562",
"fax_number": "787-260-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TOMAS CARRION MADURO ST #29 ALTOS",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "00795",
"telephone_number": "787-837-0562",
"fax_number": "787-260-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ BURGOS",
"first_name": "PEDRO J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2013-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "6626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Juana Diaz, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.