LILIANA BUSTAMANTE (NPI# 1881987303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881987303 |
| Entity Type | Individual |
| Full Name | LILIANA BUSTAMANTE |
| Credential | MD |
| Practice Address |
1030 Commerce Creek Blvd Cape Coral FL 33909-6529 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Fort Myers FL 33916-2216 |
| Practice Telephone | 2397723544 |
| Practice Fax Number | 2397727855 |
| Mailing Telephone | 2392748200 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2017-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME119232 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014526700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619472396 | Liliana Diaz Bustamante | Student in an Organized Health Care Education/Training Program | 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767-3027 | 2018-03-26 |
| 1558738971 | Liliana Bustamante | Audiologist | 8263 Grove Ave, Rancho Cucamonga, CA 91730-3107 | 2015-09-02 |
| Street Address |
1030 COMMERCE CREEK BLVD |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33909-6529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535869 | Indiramani Biji | Nurse Practitioner | 1030 Commerce Creek Blvd, Cape Coral, FL 33909-6529 | 2019-02-25 |
| 1700306388 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 1030 Commerce Creek Blvd, Cape Coral, FL 33909 | 2017-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417433970 | Vicky Doreen Duhaime | Nurse Practitioner | 636 Delprado Blvd South, Cape Coral, FL 33909 | 2018-07-17 |
| 1639562416 | Kimberly Caggiano | Physical Therapy Assistant | 2113 Ne 4th Ave, Cape Coral, FL 33909 | 2015-03-18 |
| 1669861027 | Jerkita Mcclorin | Case Manager/Care Coordinator | 409 Ne 11th Place, Cape Coral, FL 33909 | 2015-01-22 |
| 1033527361 | Jhony R Espinoza | Dentist | 1751 Ne Pine Island Rd Ste 130, Cape Coral, FL 33909 | 2014-07-30 |
| 1568738581 | Arcadia Nursing Home Inc | Home Health | 441 N. Del Prado Blvd., Suite #2, Cape Coral, FL 33909 | 2012-03-23 |
| 1689731762 | Lanie Soriano Benzon | Physical Therapist | 523 E Cape Coral Pkwy, Cape Coral, FL 33909 | 2007-01-02 |
| 1790840676 | One Price Optical | Optometrist | 325 North Del Prado, Cape Coral, FL 33909 | 2006-12-22 |
| 1801969282 | Jerry Todd Mcclaran | Dentist | 2688 Sunset Lake Drive, Cape Coral, FL 33909 | 2006-11-15 |
| 1891805651 | Edward Joseph Hope | Physical Therapy Assistant | 601 Del Prado Blvd N, #3, Cape Coral, FL 33909 | 2006-08-30 |
| 1972577906 | Misty Dawn Green | Chiropractor | 1224 Alabar Ln, Cape Coral, FL 33909 | 2006-02-15 |
| Find all providers in zip 33909 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891775789 | Gamini S Sooriyaarachchi | Internal Medicine | 1708 Cape Coral Pkwy W Ste 10, Cape Coral, FL 33914-6985 | 2006-01-18 |
| 1316920143 | Thomas E. Teufel | Internal Medicine | 811 Del Prado Blvd S, Cape Coral, FL 33990-2666 | 2005-11-25 |
| 1700306388 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 1030 Commerce Creek Blvd, Cape Coral, FL 33909 | 2017-06-23 |
| 1245425313 | Estrella M Carballido | Internal Medicine | 1708 Cape Coral Pkwy W, Suite 10, Cape Coral, FL 33914-6985 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
| Find all providers with the same taxonomy | ||||
| City | CAPE CORAL |
| Zip Code | 33909 |
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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.