Provider Demographics
NPI:1427586627
Name:BUSQUETS PLASTIC SURGERY
Entity Type:Organization
Organization Name:BUSQUETS PLASTIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLASTIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSQUETS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-461-3255
Mailing Address - Street 1:100 CALLE DEL MUELLE
Mailing Address - Street 2:CAPITOLIO PLAZA SUITE 501
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901
Mailing Address - Country:US
Mailing Address - Phone:787-289-2222
Mailing Address - Fax:787-946-0326
Practice Address - Street 1:100 CALLE DEL MUELLE
Practice Address - Street 2:CAPITOLIO PLAZA SUITE 501
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901
Practice Address - Country:US
Practice Address - Phone:787-289-2222
Practice Address - Fax:787-946-0326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13563208200000X
PR39261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty