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MARIA LOURDES P BURGOS NPI 1972607349


NPI Information

NPI: 1972607349
Provider Name: MARIA LOURDES P BURGOS
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 10D0937260

Address:
820 E ORANGE AVE
EUSTIS, FL
ZIP 32726
Phone: (352) 589-1999
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Maria Lourdes P Burgos is a pediatrics in Eustis, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Maria Lourdes P Burgos NPI is 1972607349. 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:

820 E ORANGE AVE
EUSTIS, FL
ZIP 32726-248
Phone: (352) 589-1999
Fax: (352) 589-5145

The NPI 1972607349 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 10D0937260 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 1/27/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineME54370FLORIDANo
2208000000XPediatricsME0054370FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
109722OTHERFLORIDABLUE CROSS BLUE SHIELD
21200629OTHERFLORIDAUNITED HEALTHCARE
3PD066OTHERFLORIDAPEDICARE
4037046100MEDICAIDFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.