Individual provider Active NPI

Liliana Bustamante, MD

  • Medical Oncology Physician
  • Cape Coral, FL
National Provider Identifier
1881987303
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME119232 Issued in FL
Practice address
1030 Commerce Creek Blvd
Cape Coral, FL 33909-6529
Phone
(239) 772-3544
Fax
(239) 772-7855
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X ME119232 FL
Medical Oncology Physician 207RX0202X ME119232 FL Primary

Addresses

Primary practice location

1030 Commerce Creek Blvd
Cape Coral, FL 33909-6529

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

8981 Colonial Center Dr
Fort Myers, FL 33905-7816
Phone (239) 938-0800

Other practice location 2

8260 Gladiolus Dr
Fort Myers, FL 33908-4156
Phone (239) 437-5755

Other identifiers 1

IdentifierTypeStateIssuer
014526700MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170804001249 FL Practitioner - Hematology/Oncology 2769701903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Florida College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

1708 Cape Coral Pkwy West
10 Florida Cancer Specialists PL
Cape Coral, FL 33914-6985
Phone (239) 541-4633

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME119232FLMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC Hematology CurrentSince Aug 1, 2017 Accepting new patients
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc Hematology & Oncology CurrentSince Mar 3, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology Past Accepting new patients

Locations

1708 Cape Coral Pkwy W
Ste 10
Cape Coral, FL 33914
Phone (239) 541-4633

1030 Commerce Creek Blvd
Cape Coral, FL 33909
Phone (239) 997-3081

8981 Colonial Center Dr
Fort Myers, FL 33905
Phone (239) 938-0800

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

8260 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 437-5755

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

12902 Usf Magnolia Dr
Tampa, FL 33612
Phone (813) 745-2720

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1881987303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 COMMERCE CREEK BLVD",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339096529",
            "telephone_number": "239-772-3544",
            "fax_number": "239-772-7855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8981 Colonial Center Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339057816",
            "country_code": "US",
            "telephone_number": "239-938-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8260 Gladiolus Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339084156",
            "country_code": "US",
            "telephone_number": "239-437-5755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "LILIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME119232",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME119232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014526700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.