Hilarie Gonzalez Burgos, DC
Individual provider Active NPI Nutrition Chiropractor · Naranjito, PR
NPI 1750925749 · NPPES record last updated Nov 1, 2019
Key facts
- NPI
- 1750925749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutrition Chiropractor 111NN1001X
- License
- 696 (PR)
- Practice address
- Carr 152 KM 12.3
Naranjito, PR 00719 - Phone
- (939) 282-3851
- NPI assigned
- Nov 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200109000863 | PR | Practitioner - Chiropractic | 0941635510 | Practice locations: Naranjito, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 696 | PR | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 696 | PR | Yes |
Addresses
Primary practice location
Carr 152 KM 12.3
Naranjito, PR 00719
Mailing address
HC 72 Box 4010
Naranjito, PR 00719-8780
Phone (939) 292-3851
Other providers in Naranjito, PR
- Erik A Garcia Santiago
- Jann Carlos Gerena
- Gilberto Vazquez Perez
- Maria Angelica Gomez-Negron
- Giselle Marie Gonzalez Bermudez
- Alexandra Gonzalez
- Juan Carlos Gonzalez
- Rosalee Gonzalez
- Isis Gracia
- Grupo Medico Ipa-341
All providers in Naranjito, PR · Nutrition Chiropractor in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.