Healthcare Provider Details

I. General information

NPI: 1982533980
Provider Name (Legal Business Name): BURES OTOLARYNGOLOGY & VOICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CARR #2 SUITE 310
MANATI PR
00674
US

IV. Provider business mailing address

PO BOX 270247
SAN JUAN PR
00928-3047
US

V. Phone/Fax

Practice location:
  • Phone: 787-233-6558
  • Fax:
Mailing address:
  • Phone: 787-233-6558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANTONIO ENRIQUE BURES RODRIGUEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-233-6558