Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rafael Miguel Bustamante, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164743837

Rafael Miguel Bustamante, MD is a Vascular Surgery in Fort Lauderdale, Florida. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2010, 16 years ago. Practices with Palm Beach General Surgery LLC, a 69-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
FL
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1601 S Andrews Ave Fl 3
Fort Lauderdale, FL 33316-2509
Phone: (954) 320-3380
Fax: (954) 320-3371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence ME137233 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TRN14979 (FL)

Record details

NPI number1164743837
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2010
Last updated in NPPESAugust 9, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2010 (16 years in practice)
Group practice Palm Beach General Surgery Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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