Active NPI
Mairi Munoz-Bustamante, PA-C
- Medical Physician Assistant
- Coral Gables, FL
National Provider Identifier
1952562472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9104050
- Practice address
- 550 Biltmore Way
Suite 120
Coral Gables, FL 33134-5730 - Phone
- (305) 989-4384
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9104050 | FL | Primary |
Addresses
Primary practice location
550 Biltmore Way
Suite 120
Coral Gables, FL 33134-5730
Mailing address
370 SW 27TH Rd
Miami, FL 33129-2237
Phone (305) 989-4384
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 |
|---|---|---|---|
| PA9104050 | FL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1952562472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 SW 27TH RD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331292237",
"telephone_number": "305-989-4384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 BILTMORE WAY",
"address_2": "SUITE 120",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331345730",
"telephone_number": "305-989-4384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ-BUSTAMANTE",
"first_name": "MAIRI",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9104050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.