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Rafael Miguel Bustamante, MD
Vascular Surgery Physician in Fort Lauderdale, Florida
NPI 1164743837

Rafael Miguel Bustamante is a Vascular Surgery Physician based in Fort Lauderdale, FL and is specialized in Vascular Surgery. Rafael Miguel Bustamante practices in Fort Lauderdale, FL and has the professional credentials of MD. The NPI Number for Rafael Miguel Bustamante is 1164743837 and holds a License No. TRN14979 (Florida).

The current practice location address for Rafael Miguel Bustamante is 1601 S Andrews Ave Fl 3, Fort Lauderdale, FL and can be reached out via phone at 954-320-3380 and via fax at 954-320-3371. You can also correspond with Rafael Miguel Bustamante through the mailing address at 1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL - 33309-3750 (mailing address contact number: 954-320-3380).

Location: 1601 S Andrews Ave Fl 3, Fort Lauderdale, FL, 33309-3750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164743837
Provider Name
Rafael Miguel Bustamante
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1601 S Andrews Ave Fl 3, Fort Lauderdale, FL, 33309-3750
Phone Number
954-320-3380
Fax Number
954-320-3371
Provider Enumeration Date
06/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1601 S Andrews Ave Fl 3
City
Fort Lauderdale
State
Florida
Zip
33316-2509
Phone Number
954-320-3380
Fax Number
954-320-3371
person
Provider Business Mailing Address Details
Address
1601 S Andrews Ave Fl 3
City
Fort Lauderdale
State
Florida
Zip
33316-2509
Phone Number
954-320-3380
Fax Number
954-320-3371
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
ME137233 (Florida)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
TRN14979 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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