Jorge a Bustillo Cancio, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16909 Issued in PR

Practice address

J66 Calle Colmenar
Villa Andalucia
San Juan, PR 00926-2524

Phone

(787) 430-5471

NPI assigned

Sep 24, 2007

Last updated

Apr 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Hospice/Palliative Care

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Camino de Luz Hospice Care Hospice, Manati, PR, CCN 401558
• Doctors' Center Hospital, Inc Hospital, Manati, PR, CCN 400118

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Los Pinos Medical Center LLC

  • General Practice Physician
  • Arecibo, PR
  • NPI 1053926451
  Medicare reassignment NPD
• Doctors Center Hospital Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1861494163
  NPD (past)
• Pharmamed Wound Care Clinic, Corp

  • Clinic/Center
  • Barceloneta, PR
  • NPI 1316265291
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Camino de Luz Hospice Care Inc

  • Community Based Hospice Care Agency
  • Manati, PR
  • NPI 1851377592
  Care Compare affiliation
• Doctors Center Hospital Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1861494163
  Care Compare affiliation

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1306032263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J66 CALLE COLMENAR",
            "address_2": "VILLA ANDALUCIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262524",
            "telephone_number": "787-430-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J66 CALLE COLMENAR",
            "address_2": "VILLA ANDALUCIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262524",
            "telephone_number": "787-430-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTILLO CANCIO",
        "first_name": "JORGE A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jaime Busquets, D.M.D.
• Iraida Busquets
• Jose Miguel Busquets, M.D.
• Mariola Busquets
• Teresita Alodia Busquets, D.M.D.
• Antonio Bustillo, PH.D.
• Maria C. Bustillo, SLP
• Roberto Buxeda, MD
• BVR Ambulance Best Care Inc
• C L a Dental Group (Advanced Dental Center)

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.