NPIMap

Organization Active NPI

Neurology Consultants of South Florida Inc

  • Neurology with Special Qualifications in Child Neurology Physician
  • Hialeah, FL
National Provider Identifier
1417017823
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
ME58534 Issued in FL
Legal business name
NEUROLOGY CONSULTANTS OF SOUTH FLORIDA INC
Practice address
4160 W 16TH Ave
Suite 100
Hialeah, FL 33012-5853
Phone
(305) 826-5655
Fax
(305) 826-5598
NPI assigned
Dec 8, 2006
Last updated
Jul 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Dr. Martha Bustamante, M.D.NPI 1801889282
Title
President
Phone
(305) 826-5655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME58534 FL
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X ME58534 FL Primary
Neurodevelopmental Disabilities Physician 2084P0005X ME58534 FL
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X ME58534 FL

Addresses

Primary practice location

4160 W 16TH Ave
Suite 100
Hialeah, FL 33012-5853

Mailing address

PO Box 126629
Hialeah, FL 33012-1610
Phone (305) 826-5655

Other identifiers 1

IdentifierTypeStateIssuer
99443OtherFLBLUE CROSS BLUE SHIELD FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1417017823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126629",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330121610",
            "telephone_number": "305-826-5655",
            "fax_number": "305-826-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 W 16TH AVE",
            "address_2": "SUITE 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125853",
            "telephone_number": "305-826-5655",
            "fax_number": "305-826-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CONSULTANTS OF SOUTH FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "BUSTAMANTE",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-826-5655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME58534",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME58534",
            "primary": true
        },
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "FL",
            "license": "ME58534",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "FL",
            "license": "ME58534",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "99443",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.