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ANDRES BUSTILLO LOPEZ M.D.
NPI 1275527749
Otolaryngology - Facial Plastic Surgery in South Miami, FL

Active since September 09, 2005CLIA 10D2069198 · Waiver
6705 S RED RD, SUITE 602, SOUTH MIAMI, FL 33143(305) 663-3380(786) 533-1535 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andres Bustillo Lopez M.d. NPPES

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

ANDRES BUSTILLO LOPEZ M.D. (NPI 1275527749) is an individual facial plastic surgery provider in South Miami, Florida, licensed in Florida (ME91869) and active in the NPI registry since September 2005. He holds a CLIA Waiver certificate valid through November 18, 2027.

NPPES Registry Identity

NPI1275527749
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameANDRES BUSTILLO LOPEZCredential: M.D.
Location Address6705 S RED RD, SUITE 602South Miami, FL 33143-3622
Mailing Address6705 S Red Rd, Suite 602South Miami, FL 33143-3622 · (305) 663-3380 · Fax (786) 533-1535
Phone(305) 663-3380
Fax(786) 533-1535
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateFebruary 27, 2019
✔ NPI 1275527749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in FL · ME91869
Definition

An otolaryngologist who specializes in facial plastic surgery.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License ME91869 (FL)
6705 S RED RD, South Miami, FL 33143
Open in Google Maps ↗

Other Identifiers 1

Medicaid275991800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2069198

Andres Bustillo MD Facs · Coral Gables, FL
Active · expires Nov 18, 2027
CLIA Number10D2069198
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorAndres Bustillo
Laboratory Phone(305) 663-3380
Laboratory LocationAndres Bustillo MD Facs6705 Red Rd Ste 602, Coral Gables, FL 33143
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER G. VOLSKY M.D.
Otolaryngology (Otology & Neurotology)
6705 S RED RD, SUITE 706
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 666-0203
ANAMARIS IBARRA
Nurse Practitioner (Family)
6705 S RED RD, 714
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 662-1160
DR. FLOR ANA MAYORAL MD
Dermatology
6705 S RED RD, SUITE 314
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 665-6166
ALEXANDRA LEON
Specialist/Technologist, Other (Surgical Technologist)
6705 S RED RD, SUITE 602
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 663-3380
A.DESROSIERS III, M.D., CORP
Plastic Surgery
6705 S RED RD, SUITE 516
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 403-2922
EDWARD JOSEPH HILLMAN M.D.
Otolaryngology
6705 S RED RD, #704
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 666-0203
MARIA CAROLINA MONTES
6705 S RED RD, SUITE 706
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 667-4515
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Dermatology
6705 S RED RD, SUITE 518
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 403-1181

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 Andres Bustillo Lopez's NPI number?

The NPI number for Andres Bustillo Lopez is 1275527749. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Andres Bustillo Lopez located?

Andres Bustillo Lopez practices at 6705 S Red Rd Suite 602, South Miami, FL 33143. The listed phone number is (305) 663-3380.

What is Andres Bustillo Lopez's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Does Andres Bustillo Lopez hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2069198) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Andres Bustillo Lopez accept?

Health plans from Wellpoint list Andres Bustillo Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andres Bustillo Lopez was last updated on February 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.