| NPI | 1275635559 | 
|---|---|
| Professional Name | DORIS PABLO-BUSTOS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD30307)  | 
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101056019)  | 
| 261QP2300X Clinic/Center, Primary Care (Licence: DC MD30307)  | |
| 302F00000X Exclusive Provider Organization (Licence: MD D0058776)  | |
| 302F00000X Exclusive Provider Organization (Licence: DC MD30307)  | |
| 302F00000X Exclusive Provider Organization (Licence: VA 0101056019)  | |
| 302R00000X Health Maintenance Organization (Licence: DC MD30307)  | |
| 302R00000X Health Maintenance Organization (Licence: VA 0101056019)  | |
| 302R00000X Health Maintenance Organization (Licence: MD D0058776)  | |
| 305R00000X Preferred Provider Organization (Licence: DC MD30307)  | |
| 305R00000X Preferred Provider Organization (Licence: VA 0101056019)  | |
| 305R00000X Preferred Provider Organization (Licence: MD D0058776)  | |
| 305S00000X Point of Service (Licence: DC MD30307)  | |
| 305S00000X Point of Service (Licence: VA 0101056019)  | |
| 305S00000X Point of Service (Licence: MD D0058776)  | |
| Enumeration Date | 2006-09-05 | 
| Last Update Date | 2024-10-11 |