# CENTERS OF MEDICAL EXCELLENCE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518797133
- **Authorized official:** SADITA BUSTAMANTE (COO)
- **Authorized official phone:** (305) 874-3909

## Contact information

- **Practice address:** 967 N KROME AVE, HOMESTEAD, FL 33030-4408
- **Practice address phone:** (786) 949-7470
- **Practice address fax:** (305) 874-3916
- **Mailing address:** 7925 NW 12 STREET, SUITE 201, DORAL, FL 33126-1821
- **Mailing address phone:** (305) 874-3909
- **Mailing address fax:** (305) 874-3916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2024
- **Last updated:** 08/14/2024