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Organization

BUSTOS ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE A YRASTORZA (REVENUE CYCLE SPECIALIST)
(202) 269-6430
Entity
Organization

Contact information

Practice address
1140 VARNUM ST NE STE 202, WASHINGTON, DC 20017-2153
(202) 269-6430
(202) 269-6598
Mailing address
1140 VARNUM ST NE STE 202, WASHINGTON, DC 20017-2153
(202) 269-6430
(202) 269-6598

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
261QP2300X
Primary Care Clinic/Center
302F00000X
Exclusive Provider Organization
302R00000X
Health Maintenance Organization
305R00000X
Preferred Provider Organization
305S00000X
Point of Service

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101048655
LICENSE
VA
05
055092400
DC
01
2025092322349376
SCC
VA
05
540055400
MD
01
D0042936
LICENSE
MD
01
MD19909
LICENSE
DC
01
Z26477356
SDAT
MD
Enumeration date
11/03/2009
Last updated
10/03/2025
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