Bustamante, Martha
Bustamante, Martha is an sole proprietor health care provider with primary practice located at 4160 W 16Th Ave Ste 100 , Hialeah FL 33012-5853. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Bustamante, Martha can be contacted via phone (305) 826-5655.Contact Information
Primary practice address
4160 W 16Th Ave Ste 100
Hialeah FL 33012-5853
Phone: (305) 826-5655
Fax: (305) 826-5598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromuscular Medicine | 2084N0008X | ME58534 | Florida |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME58534 | Florida |
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2084P0005X | ME58534 | Florida |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | ME58534 | Florida |
Profile Details
| NPI number | 1801889282 |
|---|---|
| LBN Legal business name | Bustamante, Martha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Nov 15th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801889282 | NPPES |
| Florida | MEDICAID | 056888100 |
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