Gustavo Bustamante MD PA

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

24981 Issued in FL

Legal business name

GUSTAVO BUSTAMANTE MD PA

Practice address

500 Delaney Ave
402
Orlando, FL 32801-3850

Phone

(407) 841-8925

NPI assigned

Oct 25, 2012

Last updated

Oct 25, 2012By 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

Dr. Gustavo Bustamante, MD

Title

President

Phone

(407) 841-8925

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1851644090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DELANEY AVE",
            "address_2": "402",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013850",
            "telephone_number": "407-841-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DELANEY AVE",
            "address_2": "402",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013850",
            "telephone_number": "407-841-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO BUSTAMANTE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "BUSTAMANTE",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-841-8925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "24981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shilpa Gurnurkar, MD
• Brian Keith Gurr, CRNA
• Carlos J Gurreonero, D.M.D.
• Stephanie Gurumendi, RPH
• Jonathan Gustave, LMFT
• Anthony J Gustitus Jr., APRN
• Sherri Lynn Guthrie, LPTA
• Leidysbet Gutierrez Hernandez
• Gutierrez Medical Center, LLC
• Luz Helena Gutierrez Sanchez, M.D.

• Ambulatory Surgical Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.