Mariano Busso, M.D., P.A.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

ME0065566 Issued in FL

Practice address

3006 Aviation Ave
Suite 2C
Coconut Grove, FL 33133-3863

Phone

(305) 857-0144

NPI assigned

Jan 12, 2006

Last updated

Jan 23, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Dermatology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

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.

• Mariano Busso MD PA

  • Procedural Dermatology Physician
  • Coconut Grove, FL
  • NPI 1497060453
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1346229978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 AVIATION AVE",
            "address_2": "SUITE 2C",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331333863",
            "telephone_number": "305-857-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 AVIATION AVE",
            "address_2": "SUITE 2C",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331333863",
            "telephone_number": "305-857-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSO",
        "first_name": "MARIANO",
        "name_prefix": "Dr.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME0065566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376308100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Borinquen Health Care Center, Inc. (Silver Bluff Elementary)
• Borinquen Health Care Center, Inc. (Frances S. Tucker Elementary)
• Laura Borinsky, CNS, LDN
• Richard James Boxer, M. D.
• Michael Bryant
• David Marquino Cajiao, M.S., M.F.T.
• Meghan Christine Calfee, LMHC
• Daniel Calva-Cerqueira, M.D.
• Joanne Cancel
• Michel Canova-Perez, CBHCH/BS

• Procedural Dermatology Physician in Coconut Grove, FL
• Providers in Coconut Grove, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.