| NPI | 1699289173 |
|---|---|
| Professional Name | SAMUEL CORREA BUSTILLOS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP-03431) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2023-08-21 |