MEDICARE: CAMILE BURGOS-TORRES

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	237700000X	Hearing Instrument Specialist	AS5285	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396223384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMILE BURGOS-TORRES

Provider Business Mailing Address
First Line	:	233 E WILBUR AVE UNIT 237
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3250
Country	:	US
Telephone Number	:	787-428-6904
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 S CHICKASAW TRL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-7803
Country	:	US
Telephone Number	:	787-264-7407
Fax Number	:

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

Provider Enumeration Date	:	08/01/2018
Last Update Date	:	08/28/2024

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Directions to “ CAMILE BURGOS-TORRES ” Practice Location

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