Provider Demographics
NPI:1427054808
Name:BUSQUETS, MIGUEL A (MD)
Entity type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:A
Last Name:BUSQUETS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N EAGLE CREEK DR STE 500
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1802
Mailing Address - Country:US
Mailing Address - Phone:859-263-3900
Mailing Address - Fax:859-263-3757
Practice Address - Street 1:120 N EAGLE CREEK DR STE 500
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1802
Practice Address - Country:US
Practice Address - Phone:859-263-3900
Practice Address - Fax:859-263-3757
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD073712L207W00000X
KY53305207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA309810OtherUPMC HEALTH PLAN
PA0018573240009Medicaid
PA1525741OtherGATEWAY HEALTH PLAN
PA157513OtherHEALTH AMERICA/ASSURANCE
PA000000126899OtherUNISON HEALTH PLAN
PA157513OtherADVANTRA
PA251100359004OtherPGBA TRICARE
PABU052981OtherUMWA
PA13336OtherELDER HEALTH
PA0018573240001Medicaid
PA2734395OtherAETNA HMO
PA7787147OtherAETNA COMMERCIAL
PA1359578OtherHIGHMARK
PA180043679OtherRAILROAD MEDICARE
PA$$$$$$$$$OtherCHAMPVA
PA309810OtherUPMC HEALTH PLAN
PA2734395OtherAETNA HMO
PA$$$$$$$$$-00OtherOHIO WORKERS COMP