Healthcare Provider Details
I. General information
NPI: 1285513507
Provider Name (Legal Business Name): TOTUS TUUS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/29/2025
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8900 SW 117TH AVE STE C205
MIAMI FL
33186-2185
US
IV. Provider business mailing address
8900 SW 117TH AVE STE C205
MIAMI FL
33186-2185
US
V. Phone/Fax
- Phone: 305-640-8600
- Fax: 954-248-1973
- Phone: 305-640-8600
- Fax: 954-248-1973
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
EDUARDO
JESUS
BUSTILLO
Title or Position: PRESIDENT
Credential: PMHNP
Phone: 305-527-0366