Mireya Nichol Bustamante

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1000744 Issued in TX

Practice address

1501 Biscayne Blvd
Miami, FL 33132-1449

Phone

(877) 870-0323

Fax

(866) 427-3798

NPI assigned

Jul 2, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA, FL, PA4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Chaim Gitelis DO PCGroup PAC ID 6507090396, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Chaim Gitelis DO PC

  • Internal Medicine Physician
  • Orangeburg, NY
  • NPI 1154763894

  FL, PA, TX

  Medicare reassignment Care Compare group NPD
• GR Medical PC

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1649086331

  CA

  Medicare reassignment NPD
• Ig Health and Wellness

  • Clinic/Center
  • Pembroke Pines, FL
  • NPI 1245017623
  NPD (past)

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1992541668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 PIEDRAS BLANCO DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787474084",
            "telephone_number": "512-767-4115",
            "fax_number": "866-427-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321449",
            "telephone_number": "877-870-0323",
            "fax_number": "866-427-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "MIREYA",
        "middle_name": "NICHOL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1000744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward A Bustamante, DPM
• Harlee Ann Marie Bustamante, PA-C
• Julia Bustamante
• Marilyn Bustamante, FNP-BC
• Michelle Militza Bustamante
• Patricia Cesar Bustamante
• Rita Maria Bustamante, REGISTERED NURSE
• Rocio Bustamante, RBT
• Bustillo Doctor Office Inc
• Senia V. Bustillo-Osborne, O.D.

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.