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LAURA MIRANDA BURGOS MD
NPI 1205579612
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, FL

Active since April 14, 2022PECOS Enrolled
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316(954) 468-5201 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 19, 2022, Apr 14, 2022 (2 updates tracked since 2022).

About Laura Miranda Burgos Md NPPES

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

LAURA MIRANDA BURGOS MD (NPI 1205579612) is an individual student in an organized health care education/training program in Fort Lauderdale, Florida and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205579612
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLAURA MIRANDA BURGOSCredential: MD
Location Address1600 S ANDREWS AVEFort Lauderdale, FL 33316-2510
Mailing AddressHc 1 Box 14595Coamo, PR 00769-9740
Phone(954) 468-5201
Sole ProprietorYes
Enumeration DateApril 14, 2022
Last NPPES UpdateApril 19, 20222 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
✔ NPI 1205579612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1600 S ANDREWS AVE, Fort Lauderdale, FL 33316
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Miranda Burgos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

DIANNE MATTOX PARKER M.D.
Pediatrics
1600 S ANDREWS AVE, NEWBORN NURSERY
FORT LAUDERDALE, FL 33316
Broward County (954) 355-5810
AKILAH FULLER PHARMD, MS
Pharmacist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
JACOB GOLDENBERG MD
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 941-8300
TIFFANY SKYE SCULTHORPE DO, MS
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
JOHN BERNE MD
Surgery
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (305) 918-7050
DR. EDUARDO A. OTERO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1600 S ANDREWS AVE, 4TH FLR NICU
FT LAUDERDALE, FL 33316
Broward County (954) 355-5870
WESTSIDE HOSPITALIST INC
Hospitalist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
PETER A. NAMNUM, MD, PA
Internal Medicine (Pulmonary Disease)
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400

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 Laura Miranda Burgos's NPI number?

The NPI number for Laura Miranda Burgos is 1205579612. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Laura Miranda Burgos located?

Laura Miranda Burgos practices at 1600 S Andrews Ave, Fort Lauderdale, FL 33316. The listed phone number is (954) 468-5201.

What is Laura Miranda Burgos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Laura Miranda Burgos enrolled in Medicare?

Yes. Laura Miranda Burgos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laura Miranda Burgos was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.