Aurea D Burgos Pabon, M.D.
Individual provider Active NPI General Practice Physician · Cidra, PR
NPI 1891722971 · NPPES record last updated Oct 10, 2018
Key facts
- NPI
- 1891722971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 12068 (PR)
- Practice address
- Calle Gautier Benitez Num 19
Cidra, PR 00739 - Phone
- (787) 739-2440
- Fax
- (787) 739-2440
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19 Calle Gautier Benitez
Cidra, PR 00739-3337
Phone (787) 739-2440
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040529000148 | PR | Practitioner - General Practice | 8123009529 | Practice locations: Cidra, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12068 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mediko Red Aliado Corp | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 12068 | PR | Yes |
Addresses
Primary practice location
Calle Gautier Benitez Num 19
Cidra, PR 00739
Mailing address
PO Box 745
Cidra, PR 00739-0745
Phone (787) 739-2440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010599 | Other | PR | HUMANA INSURANCE |
| 3644 | Other | PR | PREFERRED MEDICARE CHOICE |
| M000426 | Other | PR | PLAN MENONITA |
| 88464 | Other | PR | TRIPLE S |
Other providers in Cidra, PR
- Carlos Alejandro Bonilla Sr.
- Abbiliz Borrero
- Katherine Borrero
- Andres M Britt
- Francisco Javier Bruno-Rivera
- Jorge A Burgos Rivera
- Carlos R Caceres Roure
- Jorge Luis Calderon
- Rosalie Candelario
- Care Alternative Solution Inc
All providers in Cidra, PR · General Practice Physician 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 Oct 10, 2018. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.