Individual provider Active NPI

Augusto Cesar Burgos Gandia, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1811936560
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9515 Issued in PR
Practice address
763 Calle Diana
San Juan, PR 00923-2316
Phone
(787) 960-7536
NPI assigned
Jun 6, 2006
Last updated
Jun 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9515 PR Primary

Addresses

Primary practice location

763 Calle Diana
San Juan, PR 00923-2316

Mailing address

763 Calle Diana
Urb. Dos Pinos
San Juan, PR 00923-2316
Phone (787) 960-7536

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1811936560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 CALLE DIANA",
            "address_2": "URB. DOS PINOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009232316",
            "telephone_number": "787-960-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 CALLE DIANA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009232316",
            "telephone_number": "787-960-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS GANDIA",
        "first_name": "AUGUSTO",
        "middle_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.