Vicente Bolanos

NPI 1740879527 · on the registry since 2021 · sole proprietor

Practice

Address: 501 Nw 103rd Ave
Pembroke Pines, FL 33026
Phone: (954) 251-1497
Fax: (954) 404-9537
Organisation at this address: Marta Cabrera Md Pa
Caremax Medical Center Of Pembroke Pines, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida