BUSTILLO DOCTOR OFFICE INC
NPI 1790380236
Family Medicine in Miami, FL
About Bustillo Doctor Office Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BUSTILLO DOCTOR OFFICE INC (NPI 1790380236) is a healthcare organization registered as a family medicine in Miami, Florida and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Hortencia Bustillo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bustillo Doctor Office Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bustillo Doctor Office Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 10D2228657
Bustillo Doctor Offices, Inc · Miami, FLFrequently 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 Bustillo Doctor Office Inc's NPI number?
The NPI number for Bustillo Doctor Office Inc is 1790380236. It was assigned to this organization in the NPPES registry on December 2, 2020.
Where is Bustillo Doctor Office Inc located?
Bustillo Doctor Office Inc is located at 7295I SW 24th St, Miami, FL 33155. The listed phone number is (786) 879-3071.
What is Bustillo Doctor Office Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bustillo Doctor Office Inc enrolled in Medicare?
Yes. Bustillo Doctor Office Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bustillo Doctor Office Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bustillo Doctor Office Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bustillo Doctor Office Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2228657) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bustillo Doctor Office Inc accept?
Health plans from Molina Healthcare list Bustillo Doctor Office Inc 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 Bustillo Doctor Office Inc was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Bustillo Doctor Office Inc · NPI 1790380236
Family Medicine organization in Miami, Florida. Organization record, active in the CMS NPPES registry since December 2, 2020.
## Identity
- **NPI:** 1790380236 (Entity type: Organization)
- **Enumerated:** December 2, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Hortencia Bustillo, OWNER
## Practice location
- **Address:** 7295I SW 24TH ST, Miami, FL 33155-1401
- **Phone:** (786) 879-3071
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790380236) · Data from the CMS NPPES public registry.