Healthcare Provider Details

I. General information

NPI: 1588454037
Provider Name (Legal Business Name): LINERYS ROMERO BURGOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 05/08/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB LOS FAROLES 116 PASEO VIEJO SAN JUAN
BAYAMON PR
00956
US

IV. Provider business mailing address

URB LOS FAROLES 116 PASEO VIEJO SAN JUAN
BAYAMON PR
00956
US

V. Phone/Fax

Practice location:
  • Phone: 787-467-2723
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: