Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Vanessa Virginia Casillas Burgos, SLT

Individual provider Specialist · NPI 1104719111

Mrs. Vanessa Virginia Casillas Burgos, SLT is a Specialist in San Juan, Puerto Rico. Licensed in Puerto Rico. Registered with an NPI since 2025.

Licensed in
PR
In the registry since
2025
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Practice location Address may be wrong

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85 Calle Mayaguez
San Juan, PR 00917-5109
Phone: (787) 455-3295

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Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 001528 (PR)

Record details

NPI number1104719111
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLT
Sole proprietorNo
NPI enumeratedMay 29, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 16, 2025

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