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NPI Code Detail

MEDICARE: LIZBETH M ORTIZ BURGOS MD

MEDICARE: LIZBETH M ORTIZ 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
1390200000XStudent in an Organized Health Care Education/Training Program17770-IPR

General Provider Information

NPI Number : 1932039930
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZBETH M ORTIZ BURGOS MD
Provider Business Mailing Address
First Line : HC 4 BOX 5932
Second Line :
City : BARRANQUITAS
State : PR
Zip : 00794-9414
Country : US
Telephone Number : 787-205-1563
Fax Number :
Provider Business Practice Location Address
First Line : 70 CALLE SANTA CRUZ
Second Line :
City : BAYAMON
State : PR
Zip : 00961-7052
Country : US
Telephone Number : 787-620-4747
Fax Number : 787-620-1540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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