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General NPI Number Information
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NPI Number | 1730112715
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Entity Type | Individual
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Provider Name | ALBERTO BURGOS-TIBURCIO MD
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 2360 W 68TH ST STE 122
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City | HIALEAH
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State | FL
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Zip | 33016-5502
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Country | US
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Telephone | 305-200-5705
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Fax | 305-392-1217
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Provider Business Mailing Address
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Address Line | 2360 W 68TH ST STE 122
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City | HIALEAH
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State | FL
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Zip | 33016-5502
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Country | US
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Telephone | 305-200-5705
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Fax | 305-392-1217
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME 104754
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME104754
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 227704
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | ME 104754
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License Number State | FL
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