Individual
DR. BOLIVAR BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110E AVE FONT MARTELO, HUMACAO, PR 00791-3928
(787) 852-5568
(787) 852-5568
Mailing address
PO BOX 313, 110E FONT MARTELO ST., HUMACAO, PR 00792-0313
(787) 852-5568
(787) 852-5568
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
5730
PR
Other
Enumeration date
12/09/2005
Last updated
12/12/2012
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