MR. DIEGO FERNANDO BUSTAMANTE JR.
NPI 1053147272
Student in an Organized Health Care Education/Training Program in Shirley, NY

Active since September 12, 2024
29 PARK AVE, SHIRLEY, NY 11967(631) 569-0987 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Diego Fernando Bustamante Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DIEGO FERNANDO BUSTAMANTE JR. (NPI 1053147272) is an individual student in an organized health care education/training program in Shirley, New York and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1053147272
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. DIEGO FERNANDO BUSTAMANTE JR.
Location Address29 PARK AVEShirley, NY 11967-2338
Mailing Address29 Park AveShirley, NY 11967-2338 · (631) 569-0987
Sole ProprietorYes
Enumeration DateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
NPI 1053147272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
29 PARK AVE, Shirley, NY 11967

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diego Bustamante's NPI number?

The NPI number for Diego Bustamante is 1053147272. It was assigned to this individual provider in the NPPES registry on September 12, 2024.

Where is Diego Bustamante located?

Diego Bustamante practices at 29 Park Ave, Shirley, NY 11967. The listed phone number is (631) 569-0987.

What is Diego Bustamante's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Diego Bustamante was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.