Organization
HUMBERTO BASTO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUMBERTO BASTO MD PA (PRESIDENT)
(305) 940-0068
Entity
Organization
Contact information
Practice address
21097 NE 27TH CT, SUITE 210, AVENTURA, FL 33180-1204
(305) 940-0068
(305) 932-3940
Mailing address
2300 NE 215 STREET, AVENTURA, FL 33180
(305) 940-0068
(305) 932-3940
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0036969
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041369100
—
FL
Enumeration date
04/03/2006
Last updated
01/05/2015
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