Individual
DR. LUIS ERNESTO DE JESUS BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
300C CALLE FONT MARTELO, HUMACAO, PR 00791-3230
(787) 465-5603
Mailing address
HC05BOX5452, YABUCOA, PR 00767
(939) 335-5478
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2072
PR
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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