Active NPI
Rene S Bustamante, DOM, AP
- Acupuncturist
- Homestead, FL
National Provider Identifier
1124584230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP4009
- Practice address
- 43 NE 15TH St
Homestead, FL 33030-4506 - Phone
- (786) 243-1909
- NPI assigned
- Feb 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP4009 | FL | Primary |
Addresses
Primary practice location
43 NE 15TH St
Homestead, FL 33030-4506
Mailing address
14972 SW 173Rd Ter
Miami, FL 33187-6756
Phone (305) 542-4509
Other practice location 1
7480 SW 40th St Ste 840
Miami, FL 33155-6660
Phone (305) 814-9772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP4009 | Other | FL | AP4009 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP4009 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enlightened Health Restoration | Acupuncturist | Current | Accepting new patients |
| Homestead Medical Clinic, P.a | Current | Accepting new patients |
Locations
43 NE 15th St
Homestead, FL 33030
Phone (786) 243-1909
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Homestead, FL
- NPI 1538910310
-
- General Practice Physician
- Homestead, FL
- NPI 1487859245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1124584230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14972 SW 173RD TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331876756",
"telephone_number": "305-542-4509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 NE 15TH ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304506",
"telephone_number": "786-243-1909"
}
],
"practiceLocations": [
{
"address_1": "7480 SW 40th St Ste 840",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331556660",
"country_code": "US",
"telephone_number": "305-814-9772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSTAMANTE",
"first_name": "RENE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DOM, AP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-13",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP4009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AP4009",
"identifier": "AP4009",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.