ANDRES BUSTILLO LOPEZ M.D.
NPI 1275527749
Otolaryngology - Facial Plastic Surgery in South Miami, FL
NPI Status: Active since September 09, 2005
Contact Information
6705 S RED RD
SUITE 602
SOUTH MIAMI, FL
ZIP 33143
Phone: (305) 663-3380
Fax: (786) 533-1535
- Individual
- Male
- Otolaryngology
- Facial Plastic Surgery
- Accepts Insurance
- CLIA Number: 10D2069198
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-18-2027
About ANDRES BUSTILLO LOPEZ
This page provides the complete NPI Profile along with additional information for Andres Bustillo Lopez, a provider established in South Miami, Florida with a medical specialization in Otolaryngology, focusing in facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1275527749 assigned on September 2005. The practitioner's primary taxonomy code is 207YS0123X with license number ME91869 (FL). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1275527749
- Provider Name
- ANDRES BUSTILLO LOPEZ M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6705 S RED RD SUITE 602 SOUTH MIAMI, FL 33143
- Location Phone
- (305) 663-3380
- Location Fax
- (786) 533-1535
- Mailing Address
- 6705 S RED RD SUITE 602 SOUTH MIAMI, FL 33143
- Mailing Phone
- (305) 663-3380
- Mailing Fax
- (786) 533-1535
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-09-2005
- Last Update Date
- 02-27-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology Facial Plastic Surgery
- Taxonomy Code
- 207YS0123X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME91869
- License State
- FL
- Taxonomy Description
- An otolaryngologist who specializes in facial plastic surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | ME91869 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Catastrophic (+ Incentives) - HMO
- Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 275991800 | MEDICAID (05) | FL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2069198
- Facility Type
- Physician Office
- Certificate Effective Date
- November 19, 2025
- Certificate Expiration Date
- November 18, 2027
- Laboratory Director
- ANDRES BUSTILLO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Andres Bustillo Lopez to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ANDRES BUSTILLO LOPEZ M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1275527749, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SOUTH MIAMI, FL 33143
SOUTH MIAMI, FL 33143
SOUTH MIAMI, FL 33143
SOUTH MIAMI, FL 33143
SOUTH MIAMI, FL 33143
SOUTH MIAMI, FL 33143
SOUTH MIAMI, FL 33143
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275527749, enumerated as an "individual" on September 09, 2005.
The provider is located at 6705 S RED RD SUITE 602 SOUTH MIAMI, FL 33143 and the phone number is (305) 663-3380.
Otolaryngology with taxonomy code 207YS0123X and a focus in Facial Plastic Surgery.
The provider might be accepting Accepts: Wellpoint, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
