Individual
ANDRES BUSTILLO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6705 S RED RD, SUITE 602, SOUTH MIAMI, FL 33143-3622
(305) 663-3380
(786) 533-1535
Mailing address
6705 S RED RD, SUITE 602, SOUTH MIAMI, FL 33143-3622
(305) 663-3380
(786) 533-1535
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME91869
FL
207YS0123X
Facial Plastic Surgery Physician
Primary
ME91869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275991800
—
FL
Enumeration date
09/09/2005
Last updated
02/27/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us