| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARVIN ALEXANDER BURGOS | 1154865269 | 2024-06-10 |
Marvin Alexander Burgos is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1154865269. Registration indicates Marvin Alexander Burgos is a provider of services with a specialization in Technologists, Technicians & Other Technical Service Providers, Specialist/Technologist, Other (Specialist/Technologist, Other: Certified First Assistant, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist, Other Surgical Assistant, Technologists, Technicians & Other Technical Service Providers) (Specialist/Technologist, Other, ) (Nursing Service Providers, Registered Nurse) (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Marvin Alexander Burgos RN |
| Practice Office Address | 1654 PARKER ST APT 1C BRONX, NY US |
| Practice Office Telephone | 9144267952 |
| Mailing Address | 1654 PARKER ST APT 1C BRONX, NY 104624978 US |
| Business Telephone | 9144267952 |
| Code | Practice | License No State |
|---|---|---|
| 246ZC0007X | Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other Specialist/Technologist, Other: Certified First Assistant All Other Specialties & Provider Types Specialist/Technologist, Other Surgical Assistant Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other | 246ZC0007X
NY |
| 163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 909992
NY |
| FV47428W | OTHER | NY | FIDELISCARE |
| W284879900 | OTHER | NY | AETNA |