Pedro R Bustelo, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME67162 Issued in FL

Practice address

1822 E 4TH Ave
Suite a
Hialeah, FL 33010-3115

Phone

(305) 887-5511

Fax

(305) 887-5512

NPI assigned

Nov 16, 2006

Last updated

Feb 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Orthopedic SurgeryAlso: Hand Surgery

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Bustelo Orthopedic Center, Inc.

  • Medical Specialty Clinic/Center
  • Hialeah, FL
  • NPI 1598999047
  Authorized official Same address or phone
• Cicero Ortho-Med Center Inc

  • Orthopaedic Surgery Physician
  • Miami, FL
  • NPI 1780772822
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1902979024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 E 4TH AVE",
            "address_2": "SUITE A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103115",
            "telephone_number": "305-887-5511",
            "fax_number": "305-887-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 E 4TH AVE",
            "address_2": "SUITE A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103115",
            "telephone_number": "305-887-5511",
            "fax_number": "305-887-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTELO",
        "first_name": "PEDRO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME67162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376492300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Bustamante, M.D.
• Martha Cecilia Bustamante, CRT
• Nallely Bustamante
• Yanelis M Bustaque Rodriguez, APRN, RBT
• Bustelo Orthopedic Center, Inc.
• Yanely Bustelo
• Jasmine Nicole Bustillo
• Elizabeth Bustio Valdes
• Busy Bees Therapy Center Inc
• Butterfly House Pediatric Therapy Center LLC

• Orthopaedic Surgery Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.