Organization Active NPI

Manuel Bustamante M.D. P.a.

  • Gastroenterology Physician
  • Naples, FL
National Provider Identifier
1033668165
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MANUEL BUSTAMANTE M.D. P.A.
Practice address
3369 Pine Ridge Rd
Suite 203
Naples, FL 34109-3932
Phone
(239) 298-1285
NPI assigned
Sep 30, 2016
Last updated
Sep 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Manuel Bustamante, M.D.
Title
Owner
Phone
(239) 298-1285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

3369 Pine Ridge Rd
Suite 203
Naples, FL 34109-3932

Mailing address

3369 Pine Ridge Rd
Suite 203
Naples, FL 34109-3932
Phone (239) 298-1285

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1033668165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3369 PINE RIDGE RD",
            "address_2": "SUITE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093932",
            "telephone_number": "239-298-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 PINE RIDGE RD",
            "address_2": "SUITE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093932",
            "telephone_number": "239-298-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL BUSTAMANTE M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "BUSTAMANTE",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-298-1285",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.