NPIMap

Organization Active NPI

Centers of Medical Excellence, LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1396695839
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CENTERS OF MEDICAL EXCELLENCE, LLC
Practice address
2901 NW 17 Avenue
Miami, FL 33142-6631
Phone
(786) 378-8200
Fax
(786) 607-3710
NPI assigned
Feb 3, 2026
Last updated
Feb 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Sadita Bustamante
Title
Coo
Phone
(305) 874-3909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

2901 NW 17 Avenue
Miami, FL 33142-6631

Mailing address

7925 NW 12 Street
Suite 201
Doral, FL 33126-1821
Phone (305) 874-3909

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2342020Centers of Medical Excellence, LLC2901 NW 17 Avenue, Miami, FL 33142Certificate of waiverApr 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
Centers of Medical Excellence LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1396695839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 NW 12 STREET",
            "address_2": "SUITE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261821",
            "telephone_number": "305-874-3909",
            "fax_number": "786-607-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 NW 17 AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331426631",
            "telephone_number": "786-378-8200",
            "fax_number": "786-607-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS OF MEDICAL EXCELLENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "BUSTAMANTE",
        "authorized_official_first_name": "SADITA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-874-3909"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.