Bustillo Lopez, Andres

Bustillo Lopez, Andres is an individual health care provider with primary practice located at 6705 S Red Rd Suite 602, South Miami FL 33143-3622. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Bustillo Lopez, Andres can be contacted via phone (305) 663-3380.

Contact Information

Primary practice address
6705 S Red Rd Suite 602 South Miami FL 33143-3622
Phone: (305) 663-3380
Fax: (786) 533-1535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME91869 Florida
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X ME91869 Florida

Profile Details

NPI number 1275527749
LBN Legal business name Bustillo Lopez, Andres
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Feb 27th, 2019 - about 7 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 1275527749 NPPES
Florida MEDICAID 275991800

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