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Individual

NYDIA IVETTE BURGOS ORTEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
101 AVE SAN PATRICIO STE 1070, GUAYNABO, PR 00968-3048
(787) 221-7540
Mailing address
PO BOX 192082, SAN JUAN, PR 00919-2082
(787) 221-7540

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
019944
PR
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
19944
PR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/05/2015
Last updated
04/21/2022
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