Carmen Bustamante

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0816074 Issued in FL

Practice address

3986 W 16TH Ave
Hialeah, FL 33012-7000

Phone

(305) 823-2433

NPI assigned

Aug 16, 2016

Last updated

May 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1720533052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 W 9TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127259",
            "telephone_number": "786-376-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3986 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127000",
            "telephone_number": "305-823-2433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4261 W 9th Ct",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330127259",
            "country_code": "US",
            "telephone_number": "786-376-3964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F0816074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burgos Medical Corp
• Liz Burgos Sanchez
• Alberto Burgos-Tiburcio, MD
• Maya Joy Burton
• Ariel Bustamante, APRN
• Emilio Bustamante, MD
• Martha Bustamante, M.D.
• Martha Cecilia Bustamante, CRT
• Nallely Bustamante
• Yanelis M Bustaque Rodriguez, APRN, RBT

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.