Individual
GUSTAVO BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 901 KIL 4, BARRIO CAMINO NUEVO HM8, YABUCOA, PR 00767
(787) 641-0774
Mailing address
HC 1 BOX 4571, YABUCOA, PR 00767-9648
(787) 449-9446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
78149G
PR
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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