OrganizationActive
Mariano Busso MD PA
NPI 1497060453 · Procedural Dermatology Physician · Coconut Grove, FL
Provider details
- NPI number
- 1497060453
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mariano Busso, Medical Doctor/President(305) 857-0144
- License
- ME0065566 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3006 Aviation Ave
Suite 2c
Coconut Grove, FL 33133-3863
Phone: (305) 857-0144
Fax: (305) 857-0812
Approximate (ZIP-level) locationGet directions
Mailing address
3006 Aviation Ave
Coconut Grove, FL 33133-3863
Registry dates
- Enumerated
- 2010-08-16
- Last updated
- 2010-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.