Provider Demographics
NPI:1174316087
Name:J & F BURGOS ENTERPRISE LLC
Entity type:Organization
Organization Name:J & F BURGOS ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCDA.
Authorized Official - Prefix:
Authorized Official - First Name:GLORIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RABELO-FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:LND, MPH, IBCLC
Authorized Official - Phone:787-934-6524
Mailing Address - Street 1:URB REPTO MONTELLANO
Mailing Address - Street 2:D1 CALLE B
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-4116
Mailing Address - Country:US
Mailing Address - Phone:939-213-8919
Mailing Address - Fax:
Practice Address - Street 1:URB REPTO MONTELLANO
Practice Address - Street 2:D1 CALLE B
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-4116
Practice Address - Country:US
Practice Address - Phone:939-213-8919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center