MEDICARE: MRS. YOLANDA M BURGOS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME0034552	FL

General Provider Information

NPI Number	:	1043247604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. YOLANDA M BURGOS MD

Provider Business Mailing Address
First Line	:	7109 HARDING AVENUE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141
Country	:	US
Telephone Number	:	305-865-4550
Fax Number	:	305-865-4064

Provider Business Practice Location Address
First Line	:	7109 HARDING AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-3213
Country	:	US
Telephone Number	:	305-865-4550
Fax Number	:	305-865-4064

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	01/18/2026

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