Active NPI
Patricia Cesar Bustamante
- Hearing Instrument Specialist
- Miami, FL
National Provider Identifier
1861576803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS3784
- Practice address
- 10701 SW 38TH St
Miami, FL 33165-3618 - Phone
- (305) 225-5471
- Fax
- (305) 225-5481
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS3784 | FL | Primary |
Addresses
Primary practice location
10701 SW 38TH St
Miami, FL 33165-3618
Mailing address
PO Box 406153
Atlanta, GA 30384-1876
Phone (561) 478-8770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610250600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS3784 | FL | MD | Hearing Instrument Specialist |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1861576803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 406153",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303841876",
"telephone_number": "561-478-8770",
"fax_number": "561-688-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 SW 38TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653618",
"telephone_number": "305-225-5471",
"fax_number": "305-225-5481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSTAMANTE",
"first_name": "PATRICIA",
"middle_name": "CESAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS3784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "610250600",
"state": "FL"
}
],
"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 Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.