| Edelstein & Bustamante M.d.'s, P.a. | |
|
20814 W Dixie Hwy Aventura FL 33180-1147 | |
| (305) 933-8433 | |
| (305) 933-9115 |
| Full Name | Edelstein & Bustamante M.d.'s, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 20814 W Dixie Hwy, Aventura, Florida |
| Authorized Official Name and Position | Mercy Alvarez (OFFICE MANAGER) |
| Authorized Official Contact | 3059338433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edelstein & Bustamante M.d.'s, P.a. 20814 W Dixie Hwy Aventura FL 33180-1147 Ph: (305) 933-8433 | Edelstein & Bustamante M.d.'s, P.a. 20814 W Dixie Hwy Aventura FL 33180-1147 Ph: (305) 933-8433 |
| NPI Number | 1184709644 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 09/21/2023 |
| Medicare PECOS PAC ID | 4789630773 |
|---|---|
| Medicare Enrollment ID | O20050323000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184709644 | NPI | - | NPPES |
| 377738300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Daniel Kaswan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942326418 PECOS PAC ID: 9830177344 Enrollment ID: I20091013000481 |
| Provider Name | Simon M Edelstein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417992751 PECOS PAC ID: 0941256937 Enrollment ID: I20110113000523 |
| Provider Name | Carlos I Bustamante |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649216953 PECOS PAC ID: 3476509464 Enrollment ID: I20110202000137 |
| Provider Name | Andres J Rivero |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972686327 PECOS PAC ID: 8022291277 Enrollment ID: I20110324000788 |
| Provider Name | Paola Solari |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215148713 PECOS PAC ID: 2163513144 Enrollment ID: I20110902000234 |
| Provider Name | Vandrea White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295366326 PECOS PAC ID: 5597151498 Enrollment ID: I20220401000167 |
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