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RAFAEL MIGUEL BUSTAMANTE M.D. NPI 1164743837


NPI Information

NPI: 1164743837
Provider Name: RAFAEL MIGUEL BUSTAMANTE, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL
ZIP 33316
Phone: (954) 320-3380
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Rafael Miguel Bustamante, M.D. is a vascular surgery surgery in Fort Lauderdale, FL with 14 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Rafael Miguel Bustamante, M.D. NPI is 1164743837. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2010

The provider's business location address is:

1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL
ZIP 33316-509
Phone: (954) 320-3380
Fax: (954) 320-3371

The NPI 1164743837 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2010 and was last updated on 8/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramTRN14979FLORIDANo
22086S0129XSurgeryVascular SurgeryME137233FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.