| Doctor Name: | DR. YANILLE B BURGOS |
| NPI Number: | 1275632697 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 14477 |
| Business Practice Address: | Ave. Luis Munoz Rivera Edificio 91 Santa Isabel, PR - 00757 |
| Business Phone Number: | 7878451193 |
| Business Fax Number: | 7878451193 |
| Mailing Address: | Po Box 1532, SANTA ISABEL |
| State: | PR |
| Postal Code: | 007571532 |
| Phone Number: | 7878451193 |
| Fax Number: | 7878451193 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 04/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14477 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |