Provider Demographics
NPI:1467158014
Name:RODRIGUEZ BURGOS, ATALIA CRISTINA (MD)
Entity type:Individual
Prefix:DR
First Name:ATALIA
Middle Name:CRISTINA
Last Name:RODRIGUEZ BURGOS
Suffix:
Gender:F
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 1225
Mailing Address - Street 2:
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720-1225
Mailing Address - Country:US
Mailing Address - Phone:787-649-5646
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA LUIS MUNOZ MARIN
Practice Address - Street 2:ORO OFFICE CENTER
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720
Practice Address - Country:US
Practice Address - Phone:787-867-3810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16437-I390200000X
PR23870208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program