EDGAR LIZANDRO BUSTAMANTE (NPI# 1669992590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669992590 |
| Entity Type | Individual |
| Full Name | EDGAR LIZANDRO BUSTAMANTE |
| Credential | MD |
| Practice Address |
4737 Ne 25th Ave Apt 106 Fort Lauderdale FL 33308-4852 |
| Practice Telephone | 5716996284 |
| Mailing Telephone | 5716996284 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME144065 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4737 NE 25TH AVE APT 106 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-4852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1033681218 | Fleur De Lis Medical Management LLC | Internal Medicine | 824 Sw 10th St, Fort Lauderdale, FL 33315-1273 | 2018-12-27 |
| 1033627195 | Taylor Schaubschlager | Internal Medicine | 533 Ne 3rd Ave Apt 315, Fort Lauderdale, FL 33301-3279 | 2018-01-11 |
| 1699297861 | New York Medical Center | Internal Medicine | 3020 Ne 32nd Ave Ste 305, Fort Lauderdale, FL 33308-7204 | 2017-07-10 |
| 1326577925 | Rozina Parbtani | Internal Medicine | 2000 S Ocean Dr Apt 1105, Fort Lauderdale, FL 33316-3814 | 2017-06-07 |
| 1457891061 | Nabir Mohan Babbar I | Internal Medicine | 1600 S Andrews Ave Fl 33316, Fort Lauderdale, FL 33316-2510 | 2017-03-01 |
| 1447707245 | Sebastian U Perez | Internal Medicine | 4725 N Federal Hwy Ofc, Fort Lauderdale, FL 33308-4603 | 2016-09-09 |
| 1043763261 | Sunil Ayyagari Md Pllc | Internal Medicine | 824 Ne 19th Ave, Fort Lauderdale, FL 33304-3081 | 2016-07-25 |
| 1043674062 | Keith Harrison Rubin | Internal Medicine | 2100 N Ocean Blvd, Apt 501, Fort Lauderdale, FL 33305-1934 | 2016-04-06 |
| 1801258140 | Yves Jodesty Jr. | Internal Medicine | 1000 Nw 10th Ave, Fort Lauderdale, FL 33311 | 2016-03-25 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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| 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.