Active NPI
Eduardo Jesus Bustillo, RMFTI, PMHNP
- Psychiatric/Mental Health Clinical Nurse Specialist
- Miami, FL
National Provider Identifier
1356101729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- APRN11041075
- Practice address
- 8900 SW 117TH Ave Ste C205
Miami, FL 33186-2185 - Phone
- (305) 640-8600
- Fax
- (954) 248-1973
- NPI assigned
- Mar 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9194886 | FL | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | APRN11041075 | FL | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11041075 | FL | |
| Marriage & Family Therapist | 106H00000X | IMT4281 | FL |
Addresses
Primary practice location
8900 SW 117TH Ave Ste C205
Miami, FL 33186-2185
Mailing address
8900 SW 117TH Ave Ste C205
Miami, FL 33186-2185
Phone (305) 640-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130350300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
651 W 35TH St
Hialeah, FL 33012-5128
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMT4281 | FL | MD | Marriage & Family Therapist |
| 9194886 | FL | MD | Registered Nurse |
| APRN11041075 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurobehavioral Health Corp | Current | Accepting new patients | |
| Totus Tuus | Current | Accepting new patients |
Locations
12060 SW 129th Ct
Ste 201
Miami, FL 33186
Phone (786) 615-3349
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.
-
dba Totus Tuus Mental Health Srvices
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1285513507
-
- Psychologist
- Miami, FL
- NPI 1679291140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1356101729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 SW 117TH AVE STE C205",
"city": "MIAMI",
"state": "FL",
"postal_code": "331862185",
"telephone_number": "305-640-8600",
"fax_number": "954-248-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 SW 117TH AVE STE C205",
"city": "MIAMI",
"state": "FL",
"postal_code": "331862185",
"telephone_number": "305-640-8600",
"fax_number": "954-248-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSTILLO",
"first_name": "EDUARDO",
"middle_name": "JESUS",
"name_prefix": "Dr.",
"credential": "RMFTI, PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-21",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9194886",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11041075",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11041075",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMT4281",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130350300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.