Dr. Martha Bustamante M.D.
Neurology with Special Qualifications in Child Neurology Physician in Hialeah, FL(View on Map)
Full Name
Dr. Martha Bustamante M.D.
NPI Number
1801889282
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/31/2005
Specialties
(Taxonomies)Name
Code
2084N0402X
2084P0005X
2084N0400X
2084N0008X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Florida
License Number
ME58534
Contact
Information
Purpose
Mailing
Location
Address
4160 W 16TH AVE STE 100
4160 W 16TH AVE STE 100
City
Hialeah
Hialeah
State
FL
FL
Postal Code
33012-5853
33012-5853
Country
US
US
Telephone Number
(305) 826-5655
(305) 826-5655
Identifiers
Identifier
056888100
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/15/2022