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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: October 18, 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
Phone(787) 875-3375
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
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Other Identifiers 3

Medicare UPINH695003PR
Medicare ID-Type Unspecified21087PR
Other21087PR · Triple S

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Ivelisse Burgos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Salud Integral En La Montana, Inc
Radiology, Mammography
CARR 891 KM, BO. PUEBLO
Corozal, PR 00783
NPI 1013498583 (787) 859-2560

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. CARLOS STEPHEN MARTINEZ COSME PHARMD
Pharmacist
18 CALLE GEORGETTI
COMERIO, PR 00782
Comerío Municipio (787) 875-3375
DR. RICARDO RODRIGUEZ MD
General Practice
18 CALLE GEORGETTI
COMERIO, PR 00782
Comerío Municipio (787) 875-2750

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.

Which organization bills Medicare for Ivelisse Burgos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivelisse Burgos reassigns Medicare benefits to Salud Integral En La Montana, Inc (Corozal, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivelisse Burgos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ivelisse Burgos was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.