Individual provider · Type 1 NPI

Simon Grecel Mendez Bustamante, MD

Student in an Organized Health Care Education/Training Program · Nyc, NY

NPI number 1306369608 Active

Practice location

1400 Pelham Parkway South Bronx, Jacobi Medical Center
Nyc, NY 10461

Call (718) 918-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1306369608

Simon Grecel Mendez Bustamante, MD's National Provider Identifier is 1306369608, issued on Jul 19, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nyc, NY. The record was last updated on Jul 19, 2017.