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JOAB RAFAEL GALVAN BUSTILLOS MD
NPI 1316731904
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since April 08, 2025
111 E 210TH ST, BRONX, NY 10467(619) 865-1333 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joab Rafael Galvan Bustillos Md NPPES

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

JOAB RAFAEL GALVAN BUSTILLOS MD (NPI 1316731904) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1316731904
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOAB RAFAEL GALVAN BUSTILLOSCredential: MD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address580 Vance StChula Vista, CA 91910-4316 · (619) 865-1133 · Fax (619) 865-1133
Phone(619) 865-1333
Sole ProprietorYes
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1316731904 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.
111 E 210TH ST, Bronx, NY 10467
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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.

DR. MADHU SHARMA MD
Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (718) 741-2538
DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Joab Galvan Bustillos's NPI number?

The NPI number for Joab Galvan Bustillos is 1316731904. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Joab Galvan Bustillos located?

Joab Galvan Bustillos practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (619) 865-1333.

What is Joab Galvan Bustillos'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 Joab Galvan Bustillos was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.