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 |