Ivelisse Burgos
NPI #1023059383 in Comerio, Puerto Rico
Provider Information
- NPI Number
- 1023059383
- Entity Type
- Individual
- Name
- Ivelisse Burgos
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- General Practice
- Enumeration Date
- Jun 9, 2006
- Last Updated
- Sep 9, 2010
Practice Location
- Address
- 18 CALLE GEORGETTI
- City
- Comerio
- State
- Puerto Rico
- ZIP Code
- 00782-2539
- Phone
- (787) 875-3375
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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