Individual provider · Type 1 NPI

Luis Eduardo Montalvan-Bustamante, PA-C

Surgical Physician Assistant · Miami, FL

NPI number 1992593420 Active

Practice location

950 NW 20th St
Miami, FL 33127-4622

Mailing address

3825 Pond Apple Dr
Weston, FL 33332-2161

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1992593420

Luis Eduardo Montalvan-Bustamante, PA-C's National Provider Identifier is 1992593420, issued on Apr 25, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Miami, FL. The record was last updated on Apr 25, 2025.