Mario Bustamante MD PA
NPI 1477757334 · Specialist · San Antonio, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mario Bustamante MD PA is a Specialist organization in San Antonio, TX (NPI 1477757334).
Provider details
- NPI number
- 1477757334
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Leticia Cantu, Billing Manager(210) 733-1802
- License
- C14004 (TX)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-13
- Last updated
- 2016-01-05
Frequently asked questions
- What is Mario Bustamante MD PA's NPI number?
- Mario Bustamante MD PA's National Provider Identifier (NPI) is 1477757334, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mario Bustamante MD PA?
- Mario Bustamante MD PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Mario Bustamante MD PA located?
- Mario Bustamante MD PA's practice location on file with NPPES is 12770 Cimarron Path, San Antonio, TX 78249-3416.
- What is Mario Bustamante MD PA's phone number?
- The practice phone number listed in the NPPES registry for Mario Bustamante MD PA is (210) 733-1802.
- Does Mario Bustamante MD PA accept Medicare?
- Mario Bustamante MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mario Bustamante MD PA?
- The authorized official listed on Mario Bustamante MD PA's NPPES record is Leticia Cantu, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mario Bustamante MD PA's NPI active?
- Yes — Mario Bustamante MD PA's NPI (1477757334) is active in the NPPES registry as of the last update on 2016-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.