ILEANA BURGOS


Address: Calle De Diego Cond. De Duego Chalets 474, San Juan, PR 00923
Phone: 7879839161

ILEANA BURGOS (NPI# 1497389290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497389290
Entity Type Individual
Full Name ILEANA BURGOS
Practice Address Calle De Diego Cond. De Duego Chalets 474
San Juan
PR 00923
Mailing Address Hc 2 Box 6159
Bajadero
PR 00616-9761
Practice Telephone 7879839161
Mailing Telephone 7879839161
Enumeration Date 2020-03-02
Last Update Date 2020-03-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6463 PR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PR 824 05

Office Location

Street Address CALLE DE DIEGO COND. DE DUEGO CHALETS 474
City SAN JUAN
State PR
Zip Code 00923

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1417574351 A R Med Transport Non-emergency Medical Transport (VAN) Calle Barranquitas 516 Reparto America, Reparto America, Sj, PR 00923 2020-06-26
1285255653 Jorge Luis Reyes-mendoza Registered Nurse Lopez Sicardo Ave. Bldg. B18 Apt. 208, Res. Manuel A. Perez, San Juan, PR 00923 2020-04-27
1295390292 Nathalie E Alvarez Speech-Language Pathologist Calle Santa Rosa, Urb Altamesa, San Juan, PR 00923 2019-05-06
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1144737420 Vanessa Franco Reyes I Social Worker 474 Ave De Diego, Cond De Diego Chalets Apto 66, San Juan, PR 00923 2018-01-08
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861099947 Anthony Vives De Leon Psychologist Iturregui Plaza Shopping Center, 1135 Avenida 65 De Infanteria, Ste 215-a, San Juan, PR 00924 2020-10-02
1285252486 Sarel Rivera Rios Psychologist 103 Ave De Diego Apt 905, San Juan, PR 00911-3507 2020-07-14
1427675347 Lourdes A. Gonzalez Vazquez Psychologist Ave. Munoz Rivera 1007, Edificio Darlington Oficina 902, San Juan, PR 00927 2020-06-26
1629606611 Eduin Eladio Caceres Ortiz Psychologist 1479 Ave Ashford Ste 6, San Juan, PR 00907-1583 2020-03-27
1427684505 Maria Gabriela Velasco Corrada Psychologist 576 Ave Arterial B Apt 1207, San Juan, PR 00918-2211 2020-03-20
1689204794 Maria Melisa Velazquez Psychologist Monte Atenas Office Park Suite 215, Ave. Las Cumbres Km4.0, San Juan, PR 00926 2020-01-17
1164062410 Mayra E. Davila Rivera Psychologist Ave: Monte Carlo # 34354 Parcela B Finca Mariem, San Juan, PR 00929-1194 2020-01-14
1558901371 Maily Dennisse Rivera-maldonado Psychologist Ponce De Leon 735, Torre Medica Auxilio Mutuo Suite 501, San Juan, PR 00918 2020-01-09
1194362558 Nayda Ivette Roman-vazquez Psychologist 511 Ave Hostos Ste 103, San Juan, PR 00918-3247 2019-12-04
1639715311 Moraima Flores Psychologist 265 Ave. Emiliano Pol, Urb. La Cumbre, San Juan, PR 00926 2019-11-18
Find all providers in SAN JUAN

Competitor

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City SAN JUAN
Zip Code 00923

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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