Mariano Busso MD PA

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

ME0065566 Issued in FL

Legal business name

MARIANO BUSSO MD PA

Practice address

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

Phone

(305) 857-0144

Fax

(305) 857-0812

NPI assigned

Aug 16, 2010

Last updated

Aug 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mariano Busso, M.D.NPI 1346229978

Title

Medical Doctor/President

Phone

(305) 857-0144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Mariano Busso, M.D., P.A.

  • Procedural Dermatology Physician
  • Coconut Grove, FL
  • NPI 1346229978
  Medicare reassignment NPD Authorized official
• Ana Amparo Cardenas, M.D.

  • Dermatology Physician
  • Bakersfield, CA
  • NPI 1841292026
  NPD (past)

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1497060453",
    "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",
            "fax_number": "305-857-0812"
        },
        {
            "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",
            "fax_number": "305-857-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANO BUSSO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "BUSSO",
        "authorized_official_first_name": "MARIANO",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "305-857-0144",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME0065566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Alberto Lopez II, MASTERS
• Alberto Lopezacosta, AP
• Jay Lyons
• Whitney S Maldonado, D.C.
• Elizabeth Leigh Maples, DPT
• Melannie Marrero, RBT
• Beatriz Martinez, LMHC
• Eduardo A. Martinez, D.C.
• Felipe Martinez, BS
• Edward Terence McGinley, A.P., D.O.M., L.AC.

• 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 Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.