| Doctor Name: | DR. EDGARDO ROSARIO BURGOS |
| NPI Number: | 1699765040 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 10994 |
| Business Practice Address: | Clinica Borinquen Suite 106 Centro Comercial Borinquen Ave. Campo Rico Carolina, PR - 00982 |
| Business Phone Number: | 7877629409 |
| Business Fax Number: | 7877011134 |
| Mailing Address: | Clinica Borinquen Suite 106, Ave Campo Rico CAROLINA |
| State: | PR |
| Postal Code: | 00982 |
| Phone Number: | 7877629409 |
| Fax Number: | 7877011134 |
| NPI Enumeration Date: | 10/26/2005 |
| NPI Last Update Date: | 03/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 10994 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |