Burgos, Ivelisse
Burgos, Ivelisse is an sole proprietor health care provider with primary practice located at 18 Calle Georgetti , Comerio PR 00782-2539. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Burgos, Ivelisse can be contacted via phone (787) 875-3375.Contact Information
Primary practice address
18 Calle Georgetti
Comerio PR 00782-2539
Phone: (787) 875-3375
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 14476 | Puerto Rico |
Profile Details
| NPI number | 1023059383 |
|---|---|
| LBN Legal business name | Burgos, Ivelisse |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Sep 9th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023059383 | NPPES |
| Puerto Rico | Other | 21087 | TRIPLE S |
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