Doctor Name: | MAICKOL BURGOS- RODRIGUEZ |
NPI Number: | 1316376874 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NS |
License Number: | 35735G |
Business Practice Address: | Hc 4 Box 17804 Camuy, PR - 006279502 |
Business Phone Number: | 7872376430 |
Business Fax Number: | |
Mailing Address: | Hc 4 Box 17804, CAMUY |
State: | PR |
Postal Code: | 006279502 |
Phone Number: | 7872376430 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2013 |
NPI Last Update Date: | 11/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 35735G |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |