What is Maria Jose Bustamante's NPI number?

The NPI number assigned to this healthcare provider is 1104626928, enumerated as a individual on March 19, 2025.

Where is the provider located?

The provider is located at 55 FRUIT ST BOSTON, MA 02114 and the phone number is (617) 309-6645.

MARIA JOSE BUSTAMANTE M.S., M.A - NPI 1104626928 - Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Maria Jose Bustamante M.s., M.a NPPES

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

MARIA JOSE BUSTAMANTE M.S., M.A (NPI 1104626928) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1104626928

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARIA JOSE BUSTAMANTECredential: M.S., M.A

Location Address55 FRUIT STBoston, MA 02114-2621

Mailing Address55 Fruit StBoston, MA 02114-2621

Phone(617) 309-6645

Sole ProprietorYes

Enumeration DateMarch 19, 2025

NPPES CertifiedMarch 19, 2025

✔ NPI 1104626928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

55 FRUIT ST, Boston, MA 02114

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP