Jorge Mario Gomez Bustamante, MD | |
10508 Gibsonton Dr, Riverview, FL 33578-5434 | |
(855) 226-6633 | |
Not Available |
Full Name | Jorge Mario Gomez Bustamante |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 27 Years |
Location | 10508 Gibsonton Dr, Riverview, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184133050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 19770 (Puerto Rico) | Secondary |
208D00000X | General Practice | ACN980 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cano Health, Llc | 1759565047 | 235 |
Entity Name | Cano Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689901688 PECOS PAC ID: 1759565047 Enrollment ID: O20110411000829 |
Entity Name | Cano Medical Center Of West Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700387644 PECOS PAC ID: 4486902400 Enrollment ID: O20180808001932 |
Mailing Address | Practice Location Address |
---|---|
Jorge Mario Gomez Bustamante, MD 10508 Gibsonton Dr, Riverview, FL 33578-5434 Ph: (855) 226-6633 | Jorge Mario Gomez Bustamante, MD 10508 Gibsonton Dr, Riverview, FL 33578-5434 Ph: (855) 226-6633 |
Dr. Jaime R. Gierbolini, M. D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 10141 Big Bend Rd Ste 206, Riverview, FL 33578 Phone: 813-397-1274 Fax: 813-605-6003 | |
Kristina Mabel Nieves Quinones, MD General Practice Medicare: Medicare Enrolled Practice Location: 9088 Progress Blvd, Riverview, FL 33578 Phone: 813-444-0220 Fax: 813-367-1961 | |
Maria Aurora Campa Huergo, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 10508 Gibsonton Dr, Riverview, FL 33578 Phone: 813-741-2100 Fax: 813-741-2003 | |
Dr. Enrique Jose De La Cruz Hernandez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 13045 Summerfield Square Dr, Riverview, FL 33578 Phone: 813-672-1385 Fax: 813-672-8904 | |
Dr. Melissa Dawn Fickey, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6332 Us Highway 301 S, Riverview, FL 33578 Phone: 813-662-5919 Fax: 813-671-8374 | |
Raul Ernesto Ayala, M.D General Practice Medicare: Accepting Medicare Assignments Practice Location: 10508 Gibsonton Dr, Riverview, FL 33569 Phone: 813-741-2100 Fax: 813-741-2003 |