Active NPIIndividual providerSole proprietor

Dr. Guillermo Bolanos, MD

Surgery, Surgical Critical Care in Ponce, Puerto Rico

NPI Number1619072949
Practice location
909 Ave Tito Castro Ste 723, Torre Medica San Lucas, Ponce, PR 00716-4725
Fax
787-259-3355
Last updated
February 14, 2008

Guillermo Bolanos is a Surgery, Surgical Critical Care based in Ponce, PR. Guillermo Bolanos practices in Ponce, PR and has the professional credentials of MD. The NPI Number for Guillermo Bolanos is 1619072949 and holds a License No. 11460 (PR). The current practice location address for Guillermo Bolanos is 909 Ave Tito Castro Ste 723, Torre Medica San Lucas, Ponce, PR 00716-4725 and can be reached out via phone at 787-259-3355 and via fax at 787-259-3355.

Provider Profile Details

NPI Number
1619072949
Provider Name
Guillermo Bolanos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
909 Ave Tito Castro Ste 723, Torre Medica San Lucas, Ponce, PR 00716-4725
Phone Number
787-259-3355
Fax Number
787-259-3355
Primary Taxonomy
Surgery, Surgical Critical Care · 2086S0102X
Sole Proprietor
Yes
Provider Enumeration Date
September 13, 2006
Last Update Date
February 14, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
909 Ave Tito Castro Ste 723
Torre Medica San Lucas
Ponce, PR 00716-4725
City
Ponce
Zip
00716-4725
Phone Number
787-259-3355
Fax Number
787-259-3355
Ponce, PR 00716Get directions →

Provider Business Mailing Address Details

Address
Costa Caribe Golf Villa
Calle Don Quijote 1249
Ponce, PR 00716
City
Ponce
State
PR
Zip
00716
Phone Number
787-841-1949
Fax Number
787-812-0565

License Information

License Number
11460
License State
PR
Taxonomy
Surgery, Surgical Critical Care · 2086S0102X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Guillermo Bolanos, MD?

The NPI number of Dr. Guillermo Bolanos, MD is 1619072949. It was assigned on September 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Guillermo Bolanos, MD?

Dr. Guillermo Bolanos, MD is registered under the primary taxonomy Surgery, Surgical Critical Care (code 2086S0102X), licensed in PR under license number 11460.

Where does Dr. Guillermo Bolanos, MD practice?

The practice location is 909 Ave Tito Castro Ste 723, Torre Medica San Lucas, Ponce, PR 00716-4725. The office can be reached at 787-259-3355 (phone) or 787-259-3355 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619072949 directly on the NPPES registry website.

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