DEREK BUSTO (NPI# 1770149239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770149239 |
| Entity Type | Individual |
| Full Name | DEREK BUSTO |
| Credential | ATC, LAT |
| Practice Address |
3000 Sw 87th Ave Miami FL 33165-3245 |
| Practice Telephone | 3052235650 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL3439 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3000 SW 87TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33165-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114078045 | Greg Villareal | Specialist/Technologist | 3000 Sw 87th Ave, Miami, FL 33165-3245 | 2007-01-16 |
| 1407332034 | Herbert Baker | Physical Medicine & Rehabilitation | 3000 Sw 87th Ave, Miami, FL 33165-3245 | 2018-07-17 |
| 1699174243 | Tom Mendez | Specialist/Technologist | 3000 Sw 87th Ave, Miami, FL 33165-3245 | 2014-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1801401500 | Paradigm Kids Miami LLC | Behavioral Analyst | 11375 Sw 45th St, Miami, FL 33165 | 2020-09-10 |
| 1922643972 | Maritza Suarez | Behavior Technician | 1811 Sw 107th Ave Apt 2301, Miami, FL 33165 | 2019-11-14 |
| 1700439700 | 305 Medical Care Inc | Physical Medicine & Rehabilitation | 8900 Sw 24th, #209, Miami, FL 33165 | 2019-07-18 |
| 1124682299 | Picasso Dental Miami, Inc | General Practice | 9230 Sw 40th St Ste A, Miami, FL 33165 | 2019-04-24 |
| 1538723838 | Mihr Urgent Care Corp | Clinic/Center | 8900 Sw 24 St. Ste #200, Miami, FL 33165 | 2019-04-23 |
| 1942766670 | Daniel Luis Hernandez | Nurse Practitioner | 10250 Sw 56 St Suit D-103, Miami, FL 33165 | 2019-02-19 |
| 1124583695 | Meliza Mercedes Perea | Nurse Practitioner | 3850 Sw 87th Ave Ste 205, Miami, FL 33165 | 2019-02-08 |
| 1629551700 | Jorge L Hernandez | Nurse Practitioner | 8710 Sw 41 Terrace, Miami, FL 33165 | 2018-09-13 |
| 1245718857 | Cac Florida Medical Centers, LLC | Clinic/Center | 10453-55 Sw 40 Street, Miami, FL 33165 | 2018-08-06 |
| Find all providers in zip 33165 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780292813 | Wilder Xavier Quezada | Specialist/Technologist | 1412 Nw 31st Ave, Miami, FL 33125-1939 | 2020-07-15 |
| 1740808997 | Felipe Montila | Specialist/Technologist | 8187 Nw 8th St Apt 203, Miami, FL 33126-2895 | 2020-07-13 |
| 1457979981 | Amelie Anne Sophie Saint Dizier | Specialist/Technologist | 10851 Nw 7th St, Miami, FL 33172-3753 | 2020-07-10 |
| 1447878137 | Gabriel Jose Guzman | Specialist/Technologist | 9037 Sw 23rd Ln, Miami, FL 33165-2062 | 2020-07-08 |
| 1154941599 | Maxime Ramioulle | Specialist/Technologist | 14353 Sw 101st Ln, Miami, FL 33186-6948 | 2020-04-24 |
| 1083251813 | Daniella Cristina Eiroa | Specialist/Technologist | 12477 Sw 123rd St, Miami, FL 33186-9001 | 2019-11-27 |
| 1508412107 | Alex Witter | Specialist/Technologist | 2421 Nw 11th St Apt 18, Miami, FL 33125-3163 | 2019-08-11 |
| 1720640881 | Farley Andres Beltran | Specialist/Technologist | 12906 Sw 150th Ter, Miami, FL 33186-7600 | 2019-06-28 |
| 1245891449 | Debbie-ann Garricks | Specialist/Technologist | 11001 Sw 88th St Apt 204, Miami, FL 33176-1247 | 2019-06-27 |
| 1841851813 | Andre Rolando Figueroa | Specialist/Technologist | 10063 Sw 164th Pl, Miami, FL 33196-4888 | 2019-06-21 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.