Pedro I. Bustillo, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

10,621 Issued in FL

Practice address

1201 NW 16TH St
Miami, FL 33125-1624

Phone

(305) 575-3180

Fax

(305) 575-3226

NPI assigned

May 6, 2006

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Instituto de Radioterapia Avanzada del Este, PSC

  • Radiation Oncology Clinic/Center
  • Humacao, PR
  • NPI 1962777052
  Medicare reassignment NPD
• Metrohealth Radiation Oncology Group, Inc.

  dba Radiation Therapy and Cancer Institute

  • Specialist
  • Manati, PR
  • NPI 1699786277
  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1386693679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8334 SW 85TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331436973",
            "telephone_number": "305-274-8583",
            "fax_number": "305-575-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NW 16TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251624",
            "telephone_number": "305-575-3180",
            "fax_number": "305-575-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTILLO",
        "first_name": "PEDRO",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "10,621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bustillo Doctor Office Inc
• Senia V. Bustillo-Osborne, O.D.
• Cynthia Bustillo, DMD
• Eduardo Jesus Bustillo, RMFTI, PMHNP
• Hortencia Luisa Bustillo
• Vanessa Lucia Bustillo
• Carlos Andres Bustillos Montero, SA-C
• Michael P Bustin, MD
• Derek Busto, ATC, LAT
• Valeria Patricia Bustos Hemer, MD, MSC

• Radiation Oncology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.