Individual
DR. MARTHA BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4160 W 16TH AVE STE 100, HIALEAH, FL 33012-5853
(305) 826-5655
(305) 826-5598
Mailing address
4160 W 16TH AVE STE 100, HIALEAH, FL 33012-5853
(305) 826-5655
(305) 826-5598
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
ME58534
FL
2084N0400X
Neurology Physician
ME58534
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME58534
FL
2084P0005X
Neurodevelopmental Disabilities Physician
ME58534
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056888100
—
FL
Enumeration date
08/31/2005
Last updated
11/15/2022
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