Bustamante, Rafael Miguel

Bustamante, Rafael Miguel is an individual health care provider with primary practice located at 1601 S Andrews Ave Fl 3 , Fort Lauderdale FL 33316-2509. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Bustamante, Rafael Miguel can be contacted via phone (954) 320-3380.

Contact Information

Primary practice address
1601 S Andrews Ave Fl 3 Fort Lauderdale FL 33316-2509
Phone: (954) 320-3380
Fax: (954) 320-3371
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TRN14979 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME137233 Florida

Profile Details

NPI number 1164743837
LBN Legal business name Bustamante, Rafael Miguel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Aug 9th, 2019 - about 5 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.

Request for update

Popular Providers