RAFAEL M. BUSTAMANTE M.D. – NPI #1164743837
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

RAFAEL BUSTAMANTE is a surgeon located in FORT LAUDERDALE, FL. NPPES has assigned the NPI number 1164743837 to RAFAEL BUSTAMANTE on June 17, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 7 years ago on Aug 09, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RAFAEL BUSTAMANTE below.

NPI Profile for
RAFAEL M. BUSTAMANTE

NPI Number
1164743837
Enumeration Date

(about 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RAFAEL M. BUSTAMANTE
Credentials
M.D.
Primary location
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316-2509
Phone: (954) 320-3380 Fax: (954) 320-3371
Mailing address
1700 NW 49TH ST STE 125
FORT LAUDERDALE, FL 33309-3750
Phone: (954) 320-3380 Fax: (954) 320-3371
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)
FL ME137233
390200000X
- Student in an Organized Health Care Education/Training Program
FL TRN14979

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) - Graduated 2010
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RAFAEL BUSTAMANTE is affiliated with the following medical group(s):
  • HOSPITAL
    • BROWARD HEALTH MEDICAL CENTER
      1600 S ANDREWS AVE
      FORT LAUDERDALE, FL 33316
    • HCA FLORIDA NORTHWEST HOSPITAL
      2801 N STATE RD 7
      MARGATE, FL 33063
    • HCA FLORIDA UNIVERSITY HOSPITAL
      3476 S UNIVERSITY DR
      DAVIE, FL 33328
    • UNIVERSITY HOSPITAL AND MEDICAL CENTER
      7201 N UNIVERSITY DR
      TAMARAC, FL 33321
    • WESTSIDE REGIONAL MEDICAL CENTER
      8201 W BROWARD BLVD
      PLANTATION, FL 33324

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