Dennisse Burgos Ramos

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6623 Issued in PR

Practice address

1048 Ave Las Palmas Apt 1110
San Juan, PR 00907-5215

Phone

(787) 424-0003

NPI assigned

Oct 25, 2021

Last updated

Nov 29, 2023By 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

Other identifiers 1

Electronic endpoints 1

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1861156994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13372",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009083372",
            "telephone_number": "787-424-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 AVE LAS PALMAS APT 1110",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009075215",
            "telephone_number": "787-424-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS RAMOS",
        "first_name": "DENNISSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2023-11-29",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "6623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "afiliado",
            "affiliation": "Y",
            "endpointDescription": "afiliado a otras organizaciones",
            "affiliationName": "CTIAM Bayamn",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "afiliado",
            "address_1": "1048 Ave Las Palmas Apt 1110",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009075215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mayda I Burgos Gonzalez, O.D.
• Andrea Victoria Burgos Mercado
• Marisell Burgos Mercado, PH.D.
• Elizabeth Burgos Pagan
• Natalia D Burgos Polanco
• Wilnelly Burgos Rodriguez
• Jessica Burgos Torres, MD
• Vimarie Burgos Vargas, MASTER
• Luis R. Burgos-Anaya
• Nashda Cristina Burgos-Muniz, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.