Gisela Burgos, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19764 Issued in FL

Practice address

3600 Red Rd Ste 604
Miramar, FL 33025-6016

Phone

(305) 965-4429

NPI assigned

Jul 23, 2012

Sex

Female

Sole proprietor

No

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 FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Burgos Dental Services LLC

  • General Practice Dentistry
  • Miami, FL
  • NPI 1316785314
  NPD Authorized official

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1891040150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11061SW28TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652309",
            "telephone_number": "305-965-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 RED RD STE 604",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256016",
            "telephone_number": "305-965-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "GISELA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Carlos Bueno Rodriguez Sr., APRN
• Lissette Buesa
• Ricardo Buitrago, PSY.D.
• Jessica Bulgarino
• Bernard L Burgess Jr., MD
• Michael Roger Busatto, PHARM.D
• Katherine Michelle Bussleman
• Chantel Byrd
• Erica E Byriel, PA-C
• C'S Touch Inc

• General Practice Dentistry in Miramar, FL
• Providers in Miramar, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.