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NPI Code Detail

MEDICARE: BURGOS & ASSOCIATES MD PA

MEDICARE: BURGOS & ASSOCIATES MD PA
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
1207Q00000XFamily Medicine PhysicianFL

Other Identifiers

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

General Provider Information

NPI Number : 1932211190
Entity Type Code : Organization
Provider Name (Legal Business Name) : BURGOS & ASSOCIATES MD PA
Provider Business Mailing Address
First Line : PO BOX 403577
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33140-1577
Country : US
Telephone Number : 305-649-4321
Fax Number : 305-649-4331
Provider Business Practice Location Address
First Line : 3080 W FLAGLER ST
Second Line :
City : MIAMI
State : FL
Zip : 33135-1227
Country : US
Telephone Number : 305-649-4321
Fax Number : 305-649-4331
Authorized Official
Title or Position : OWNER
Name : RAFAEL BURGOS JR.
Credential : MD
Telephone Number : 305-649-4321
Provider Enumeration Date : 08/31/2006
Last Update Date : 11/21/2009

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Directions to “BURGOS & ASSOCIATES MD PA ” Practice Location

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