Bustamante, Carlos I

Bustamante, Carlos I is an individual health care provider with primary practice located at 20814 W Dixie Highway , Aventura FL 33180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bustamante, Carlos I can be contacted via phone (305) 933-8433.

Contact Information

Primary practice address
20814 W Dixie Highway Aventura FL 33180
Phone: (305) 933-8433
Fax: (305) 933-9115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME0059145 Florida

Profile Details

NPI number 1649216953
LBN Legal business name Bustamante, Carlos I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Dec 20th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649216953 NPPES
Florida MEDICAID 054309800

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