IVELISSE BURGOS
NPI 1023059383
General Practice in Comerio, PR

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
18 CALLE GEORGETTI, COMERIO, PR 00782(787) 875-3375 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ivelisse Burgos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVELISSE BURGOS (NPI 1023059383) is an individual general practice provider in Comerio, Puerto Rico, licensed in Puerto Rico (14476) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1023059383
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameIVELISSE BURGOS
Location Address18 CALLE GEORGETTIComerio, PR 00782-2539
Mailing AddressPalacios Reales #100 C/barberiniToa Alta, PR 00953-4926 · (787) 999-2899 · Fax (787) 999-2899
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJune 9, 2006
Last NPPES UpdateSeptember 9, 2010
NPI 1023059383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in PR · 14476
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

18 CALLE GEORGETTI, Comerio, PR 00782

Other Identifiers 3

Medicare UPINH695003PR
Medicare ID-Type Unspecified21087PR
Other21087PR · Triple S

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ivelisse Burgos is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42255481
PECOS Enrollment IDI20050625000016
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
18 CALLE GEORGETTI
COMERIO, PR 00782
General Practice
18 CALLE GEORGETTI
COMERIO, PR 00782

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivelisse Burgos's NPI number?

The NPI number for Ivelisse Burgos is 1023059383. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Ivelisse Burgos located?

Ivelisse Burgos practices at 18 Calle Georgetti, Comerio, PR 00782. The listed phone number is (787) 875-3375.

What is Ivelisse Burgos's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ivelisse Burgos enrolled in Medicare?

Yes. Ivelisse Burgos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ivelisse Burgos was last updated on September 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.