Organization
BUSTELO ORTHOPEDIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO R BUSTELO M.D. (PRESIDENT)
(305) 887-5511
Entity
Organization
Contact information
Practice address
1822 E 4TH AVE, SUITE A, HIALEAH, FL 33010-3115
(305) 887-5511
(305) 887-5512
Mailing address
1822 E 4TH AVE, SUITE A, HIALEAH, FL 33010-3115
(305) 887-5511
(305) 887-5512
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME67162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261041800
—
FL
Enumeration date
05/13/2009
Last updated
02/26/2010
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