ANDRES BUSTILLO LOPEZ


Address: 6705 S Red Rd, Suite 602, South Miami, FL 33143-3622
Phone: 3056633380

ANDRES BUSTILLO LOPEZ (NPI# 1275527749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275527749
Entity Type Individual
Full Name ANDRES BUSTILLO LOPEZ
Credential M.D.
Practice Address 6705 S Red Rd
Suite 602
South Miami
FL 33143-3622
Practice Telephone 3056633380
Practice Fax Number 7865331535
Mailing Telephone 3056633380
Mailing Fax Number 7865331535
Enumeration Date 2005-09-09
Last Update Date 2019-02-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Y00000X Otolaryngology ME91869 FL Allopathic & Osteopathic Physicians
Y 207YS0123X Otolaryngology
Specialization: Facial Plastic Surgery
ME91869 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 275991800 05

Office Location

Street Address 6705 S RED RD
SUITE 602
City SOUTH MIAMI
State FL
Zip Code 33143-3622

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467452193 Alberto De Dios Fernandez Otolaryngology 6705 S Red Rd, # 704, South Miami, FL 33143-3622 2005-07-22
1013469766 Anamaris Ibarra Nurse Practitioner 6705 S Red Rd, 714, South Miami, FL 33143-3622 2016-10-28
1073064382 A.desrosiers IIi, M.d., Corp Plastic Surgery 6705 S Red Rd, Suite 516, South Miami, FL 33143-3622 2016-10-21
1043664311 Alexandra Leon Specialist/Technologist, Other 6705 S Red Rd, Suite 602, South Miami, FL 33143-3622 2016-04-22
1881048247 Loh Ophthalmology Associates Ophthalmology 6705 S Red Rd, Suite 514, South Miami, FL 33143-3622 2016-04-21
1881094654 Monsalve Integrative Chiropractic Inc. Chiropractor 6705 S Red Rd, Suite 702, South Miami, FL 33143-3622 2014-08-29
1427477983 Daniel Monsalve Chiropractor 6705 S Red Rd, 702, South Miami, FL 33143-3622 2014-04-14
1447500749 Aina Y Calimano Audiologist 6705 S Red Rd, Suite # 704, South Miami, FL 33143-3622 2012-09-13
1780944991 Murray Ocular Oncology & Retina Inc Ophthalmology 6705 S Red Rd, Suite 412, South Miami, FL 33143-3622 2012-05-22
1104106319 Maria Carolina Montes Specialist/Technologist, Other 6705 S Red Rd, Suite 706, South Miami, FL 33143-3622 2011-08-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1649766197 Demys D Gonzalez Nurse Practitioner 6705 Sw 57th Ave Ste 522, South Miami, FL 33143 2018-07-09
1225529373 Marjory P Camargo Bermejo Behavior Technician 7368sw 80 Street Plaza Apto 168, Mi, Miami, FL 33143 2018-05-24
1609365147 Foot Ankle and Knee Mri LLC Clinic/Center 7520 Sw 57th Ave Ste A, South Miami, FL 33143 2018-05-09
1871082024 Healing Counseling Services, LLC Counselor 8100 Sw 81st Street Drive, Suite 276, Miami, FL 33143 2018-05-03
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Taxonomy Information

Taxonomy Code 207YS0123X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Facial Plastic Surgery

Taxonomy Definition

An otolaryngologist who specializes in facial plastic surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881846731 Anthony Bared Otolaryngology 6280 Sunset Dr Ste 504, South Miami, FL 33143-4870 2008-10-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093228587 Cosmetic Medicine Enterprises Inc Otolaryngology 34156 Us Hwy 19 N, Palm Harbor, FL 34684 2017-11-07
1205362183 Clifton Bridges Otolaryngology 6970 Sunnyside Dr, Leesburg, FL 34748-9556 2017-05-11
1811305568 Medney Tardy Jr. Otolaryngology 651 Jacana Cir, Naples, FL 34105-7400 2014-07-25
1699113605 Lebeau Clinic Pl Otolaryngology 1020 N Palafox St, Pensacola, FL 32501-3118 2013-06-12
1164867644 Joseph Samuel Moak IIi Otolaryngology 1819 Salk Ave, Tavares, FL 32778-4311 2013-05-09
1750661328 Jesse Andrew Burnam Otolaryngology 15647 Carriedale Ln, Fort Myers, FL 33912-3904 2011-08-26
1619276102 Thomas Lewis Tzikas Otolaryngology 526 Se 5th Ave, Delray Beach, FL 33483-5213 2011-03-23
1356595268 Vijay M Sharma Otolaryngology 601 University Blvd Ste 201, Jupiter, FL 33458-2788 2008-11-05
1700034345 Larry Nelson Smith Otolaryngology 10925 Sw 27th Ave, Gainesville, FL 32608-8937 2008-09-08
1821251216 Jean-paul Azzi Otolaryngology 4495 Military Trl Ste 202, The Palm Beach Center for Facial Plastic and Laser Surg, Jupiter, FL 33458-4818 2008-07-07
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Competitor

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City SOUTH MIAMI
Zip Code 33143

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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