Individual
DR. HUMBERTO BASTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 NE 215TH ST, MIAMI, FL 33180-1054
(305) 940-0068
(305) 932-3940
Mailing address
2300 NE 215TH ST, MIAMI, FL 33180-1054
(305) 940-0068
(305) 932-3940
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME36969
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041369100
—
FL
Enumeration date
04/05/2013
Last updated
01/07/2015
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