Individual provider · NPI-1

Nydia Ivette Burgos Ortega

Internal Medicine, Endocrinology, Diabetes & Metabolism · Guaynabo, PR

NPI number1215313986
StatusActive
Last updated in NPPESApr 21, 2022

Details

NPI
1215313986
Entity type
Individual (NPI-1)
Name
Nydia Ivette Burgos Ortega
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 5, 2015
Certification date
Apr 21, 2022
Last updated
Apr 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism19944PRYes
207R00000X Internal Medicine019944PR
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

101 Ave San Patricio Ste 1070
Guaynabo, PR 00968-3048

Phone 787-221-7540

Mailing address

Po Box 192082
San Juan, PR 00919-2082

Phone 787-221-7540

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