Individual
MAIRI MUNOZ-BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 BILTMORE WAY, SUITE 120, CORAL GABLES, FL 33134-5730
(305) 989-4384
Mailing address
370 SW 27TH RD, MIAMI, FL 33129-2237
(305) 989-4384
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104050
FL
Other
Enumeration date
06/18/2008
Last updated
11/06/2014
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