Mayda I Burgos Gonzalez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

313 Issued in PR

Practice address

Plaza Las Americas # 560
Teodoro Roosvelt
San Juan, PR 00918

Phone

(787) 298-1356

NPI assigned

Apr 6, 2007

Last updated

Apr 30, 2020By the provider in NPPES

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neomed Center, IncGroup PAC ID 1850284100, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Neomed Center, Inc

  dba NeoMed Center-OPD Gurabo

  • Federally Qualified Health Center (FQHC)
  • Gurabo, PR
  • NPI 1790776334

  Optometrist

  Medicare reassignment Care Compare group NPD
• Neomed Center, Inc

  dba Neomed Center-GU-Laboratory

  • Clinical Medical Laboratory
  • Gurabo, PR
  • NPI 1518286962
  NPD
• Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Naguabo, PR
  • NPI 1093357337
  NPD
• Neomed Center, Inc.

  dba NeoMed Center - Gurabo Urgent Care

  • Urgent Care Clinic/Center
  • Gurabo, PR
  • NPI 1912384678
  NPD

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1760504872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ER 44",
            "address_2": "VIA ENRAMADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-298-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA LAS AMERICAS # 560",
            "address_2": "TEODORO ROOSVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-298-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS GONZALEZ",
        "first_name": "MAYDA",
        "middle_name": "I",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ireana Valeria Burgos Bonilla
• Burgos Dental Group LLC
• Michelle Burgos Fittipaldi
• Augusto Cesar Burgos Gandia, MD
• Francisco Javier Burgos Gonzalez, PHARMD
• Andrea Victoria Burgos Mercado
• Marisell Burgos Mercado, PH.D.
• Elizabeth Burgos Pagan
• Natalia D Burgos Polanco
• Dennisse Burgos Ramos

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.