Healthcare Provider Details

I. General information

NPI: 1821811647
Provider Name (Legal Business Name): ALEX LEONARDO BURGOS HERNANDEZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CALLE PALMER
CIALES PR
00638-3217
US

IV. Provider business mailing address

HC 2 BOX 7842
CIALES PR
00638-9862
US

V. Phone/Fax

Practice location:
  • Phone: 787-871-0755
  • Fax:
Mailing address:
  • Phone: 787-871-0755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number001002
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: