Provider Demographics
NPI:1083670038
Name:RODRIGUEZ BURGOS, MIGUEL A (MD)
Entity Type:Individual
Prefix:
First Name:MIGUEL
Middle Name:A
Last Name:RODRIGUEZ BURGOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1731
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-1731
Mailing Address - Country:US
Mailing Address - Phone:787-713-6801
Mailing Address - Fax:787-734-4129
Practice Address - Street 1:33 CALLE MUNOZ RIVERA
Practice Address - Street 2:URB. MADRID
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-3116
Practice Address - Country:US
Practice Address - Phone:787-713-6801
Practice Address - Fax:787-734-4129
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR6167207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease