Ms Diane I Bustamante, RD CDN LDN is a
Dietitian, Registered based in Royal Palm Beach, Florida. Ms Diane I Bustamante is licensed to practice in New York (license number 855630) and her current practice location is
11987 Southern Blvd, Suite 1058, Royal Palm Beach, Florida. She can be reached at her office (for appointments etc.) via phone at
(917) 418-5710.
NPI number for Ms Diane I Bustamante is 1558609982 and her current mailing address is 11987 Southern Blvd, Suite 1058, Royal Palm Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558609982.
Healthcare Provider's Profile
| Full Name | Ms Diane I Bustamante |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
|---|
| Location | 11987 Southern Blvd, Royal Palm Beach, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558609982
- Provider Enumeration Date: 01/18/2013
- Last Update Date: 10/09/2024
Medical Identifiers
Medical identifiers for Ms Diane I Bustamante such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558609982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 855630 (New York) | Primary |
| 133V00000X | Dietitian, Registered | 005542 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Diane I Bustamante is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Diane I Bustamante, RD CDN LDN
11987 Southern Blvd, Suite 1058,
Royal Palm Beach, FL 33411
Ph: (917) 418-5710 | Ms Diane I Bustamante, RD CDN LDN
11987 Southern Blvd, Suite 1058,
Royal Palm Beach, FL 33411
Ph: (917) 418-5710 |
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