DR. BOLIVAR BURGOS
NPI 1760467922
Pediatrics - Adolescent Medicine in Humacao, PR

Active since December 09, 2005PECOS Enrolled
110E AVE FONT MARTELO, HUMACAO, PR 00791(787) 852-5568(787) 852-5568 Get Directions Write a Review

NPPES record last updated: December 12, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Bolivar Burgos NPPES

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

DR. BOLIVAR BURGOS (NPI 1760467922) is an individual adolescent medicine provider in Humacao, Puerto Rico, licensed in Puerto Rico (5730) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760467922
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. BOLIVAR BURGOS
Location Address110E AVE FONT MARTELOHumacao, PR 00791-3928
Mailing AddressPo Box 313, 110e Font Martelo St.Humacao, PR 00792-0313 · (787) 852-5568 · Fax (787) 852-5568
Fax(787) 852-5568
Sole ProprietorYes
Enumeration DateDecember 9, 2005
Last NPPES UpdateDecember 12, 2012
NPI 1760467922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in PR · 5730
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bolivar Burgos 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.

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 Bolivar Burgos's NPI number?

The NPI number for Bolivar Burgos is 1760467922. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Bolivar Burgos located?

Bolivar Burgos practices at 110E Ave Font Martelo, Humacao, PR 00791. The listed phone number is (787) 852-5568.

What is Bolivar Burgos's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Bolivar Burgos enrolled in Medicare?

Yes. Bolivar Burgos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bolivar Burgos was last updated on December 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.