Active NPI
Humberto Basto MD PA
- Surgery Physician
- Aventura, FL
National Provider Identifier
1336101880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0036969
- Legal business name
- HUMBERTO BASTO MD PA
- Practice address
- 21097 NE 27TH CT
Suite 210
Aventura, FL 33180-1204 - Phone
- (305) 940-0068
- Fax
- (305) 932-3940
- NPI assigned
- Apr 3, 2006
- Last updated
- Jan 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Humberto Basto, MD PA
- Title
- President
- Phone
- (305) 940-0068
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME0036969 | FL | Primary |
Addresses
Primary practice location
21097 NE 27TH CT
Suite 210
Aventura, FL 33180-1204
Mailing address
2300 NE 215 Street
Aventura, FL 33180
Phone (305) 940-0068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041369100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Miami, FL
- NPI 1942543160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420416000000",
"number": "1336101880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 NE 215 STREET",
"city": "AVENTURA",
"state": "FL",
"postal_code": "33180",
"telephone_number": "305-940-0068",
"fax_number": "305-932-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21097 NE 27TH CT",
"address_2": "SUITE 210",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801204",
"telephone_number": "305-940-0068",
"fax_number": "305-932-3940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMBERTO BASTO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-03",
"last_updated": "2015-01-05",
"status": "A",
"authorized_official_last_name": "BASTO",
"authorized_official_first_name": "HUMBERTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-940-0068",
"authorized_official_credential": "MD PA"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "FL",
"license": "ME0036969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041369100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.