Individual
RAFAEL PEDRO BUSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
951 NW 13 STREET, SUITE 5A, BOCA RATON, FL 33486
(561) 391-4200
(561) 750-9474
Mailing address
951 NW 13TH ST, SUITE 5A, BOCA RATON, FL 33486-2359
(561) 391-4200
(561) 750-9474
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
ME0023474
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71774
BCBS
FL
Enumeration date
03/27/2007
Last updated
03/08/2016
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