ILEANA BURGOS (NPI# 1497389290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
6463 | PR | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PR | 824 | 05 |
Street Address |
CALLE DE DIEGO COND. DE DUEGO CHALETS 474 |
City | SAN JUAN |
State | PR |
Zip Code | 00923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750997862 | Lazo Social, LLC | Clinic/Center | 419 Jose De Diego Street, Suite 9, San Juan, PR 00923 | 2020-09-23 |
1023624442 | Growing Up Therapy and Research Center | Occupational Therapy Assistant | 322 Calle Badajoz, Valencia Suites A-1, San Juan, PR 00923 | 2020-09-21 |
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 |
1457821431 | Jonathan Guzman Cruz | Pharmacist | Montehiedra, Los Romeros Ave. Rio Piedras, San Juan, PR 00923 | 2018-12-03 |
1508352667 | Anthony Francisco Rivera Betancourt Sr. | Non-emergency Medical Transport (VAN) | Calle Barranquitas, 516 Reparto America, San Juan, PR 00923 | 2018-07-02 |
1811482029 | Enid M. Gonzalez | Dietitian, Registered | Calle De Diego 369 Torre San Francisco, Suite 507, San Juan, PR 00923 | 2018-06-29 |
1407347909 | Hildabelis Martinez-diaz | Pathology | 771 Calle Teodoro Aguilar, Urb. Los Maestros, San Juan, PR 00923 | 2018-05-21 |
1144737420 | Vanessa Franco Reyes I | Social Worker | 474 Ave De Diego, Cond De Diego Chalets Apto 66, San Juan, PR 00923 | 2018-01-08 |
Find all providers in zip 00923 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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 |
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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.