Mayra Jeanette Burgos Rodriguez, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

0491 Issued in PR

Practice address

8169 Calle Concordia
Cond. San Vicente Suite 205
Ponce, PR 00717-1554

Phone

(787) 259-2311

Fax

(787) 259-2311

NPI assigned

May 23, 2007

Last updated

Jun 20, 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

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1962612226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561835",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006564275",
            "telephone_number": "787-259-2311",
            "fax_number": "787-259-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA",
            "address_2": "COND. SAN VICENTE SUITE 205",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171554",
            "telephone_number": "787-259-2311",
            "fax_number": "787-259-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS RODRIGUEZ",
        "first_name": "MAYRA",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PR",
            "license": "0491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Arnaldo Burgos Mercado, DMD
• Mariangelis Burgos Milanes, MSW
• Jose Antonio Burgos Pagan, MD
• Perla Jomar Burgos Rivera
• Ashley Ann Burgos Rodriguez, DC
• Sergio Alejandro Burgos Rosado
• Ivette Burgos-Irizarry, O.D.
• Maria del Mar Burgos-Torres
• Camille Alexia Burgos, MD
• Evelyn Burgos

• Audiologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Audiologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.