Bustamante, Martha

Bustamante, Martha is an sole proprietor health care provider with primary practice located at 4160 W 16Th Ave Ste 100 , Hialeah FL 33012-5853. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Bustamante, Martha can be contacted via phone (305) 826-5655.

Contact Information

Primary practice address
4160 W 16Th Ave Ste 100 Hialeah FL 33012-5853
Phone: (305) 826-5655
Fax: (305) 826-5598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2084N0008X ME58534 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME58534 Florida
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2084P0005X ME58534 Florida
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X ME58534 Florida

Profile Details

NPI number 1801889282
LBN Legal business name Bustamante, Martha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Nov 15th, 2022 - about 4 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 1801889282 NPPES
Florida MEDICAID 056888100

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