MRS. LYNNETTE M BURGOS LCDA NPI 1124076799

NPI Information

  • NPI: 1124076799
  • Provider Name: MRS. LYNNETTE M BURGOS, LCDA
  • Classification: Nutritionist - 133NN1002X
  • Specialization: Nutrition, Education
  • Entity Type: Individual
  • Address: 1801 AVE PONCE DE LEON
    SUITE 412
    SAN JUAN, PR
    ZIP 00909
  • Phone: (787) 726-0440

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NPI Details

MRS. Lynnette M Burgos, LCDA is a nutrition and education nutritionist in San Juan, PR. MRS. Lynnette M Burgos, LCDA NPI is 1124076799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1801 AVE PONCE DE LEON
SUITE 412
SAN JUAN, PR
ZIP 00909-900
Phone: (787) 726-0440
Fax: (787) 727-5574

The enumeration date for this NPI number is 5/5/2006 and was last updated on 8/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133NN1002XNutritionistNutrition, Education1234PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P61457MEDICARE UPINPUERTO RICO
20054821MEDICARE ID-TYPE UNSPECIFIEDPUERTO RICONUTRICIONIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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