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NPI Code Detail

MEDICARE: JORGE Y BURGOS MD PC

MEDICARE: JORGE Y BURGOS MD PC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1942463237
Entity Type Code : Organization
Provider Name (Legal Business Name) : JORGE Y BURGOS MD PC
Provider Business Mailing Address
First Line : 750 N EASTERN AVE STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-2850
Country : US
Telephone Number : 702-227-0022
Fax Number : 702-227-0084
Provider Business Practice Location Address
First Line : 750 N EASTERN AVE STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-2850
Country : US
Telephone Number : 702-227-0022
Fax Number : 702-227-0084
Authorized Official
Title or Position : PROVIDER
Name : JORGE Y BURGOS
Credential : MD
Telephone Number : 702-227-0022
Provider Enumeration Date : 07/07/2008
Last Update Date : 08/24/2023

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Directions to “JORGE Y BURGOS MD PC ” Practice Location

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