IndividualActive
Mariano Busso, M.D., P.A.
NPI 1346229978 · Procedural Dermatology Physician · Coconut Grove, FL
Provider details
- NPI number
- 1346229978
- Entity type
- Individual
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., P.A.
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME0065566 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3006 Aviation Ave
Suite 2c
Coconut Grove, FL 33133-3863
Phone: (305) 857-0144
Approximate (ZIP-level) locationGet directions
Mailing address
3006 Aviation Ave
Coconut Grove, FL 33133-3863
Registry dates
- Enumerated
- 2006-01-12
- Last updated
- 2013-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.