DR. EDUARDO FAUSTO BOLUMEN (NPI# 1174582639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174582639 |
| Entity Type | Individual |
| Full Name | DR. EDUARDO FAUSTO BOLUMEN |
| Credential | M.D. |
| Practice Address |
11300 Nw 87th Ct Suite 109 Hialeah Gardens FL 33018-4586 |
| Mailing Address |
12650 Sw 33rd St Miramar FL 33027-2913 |
| Practice Telephone | 3053620409 |
| Practice Fax Number | 3053624042 |
| Mailing Telephone | 9544373423 |
| Mailing Fax Number | 3053624042 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME0065418 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
11300 NW 87TH CT SUITE 109 |
| City | HIALEAH GARDENS |
| State | FL |
| Zip Code | 33018-4586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841660164 | Urantia Health Center Inc | Exclusive Provider Organization | 11300 Nw 87th Ct, Suite 161, Hialeah Gardens, FL 33018-4586 | 2015-09-29 |
| 1699157693 | Aniley Ferrer | Physical Therapy Assistant | 11300 Nw 87th Ct, Suite 149, Hialeah Gardens, FL 33018-4586 | 2015-06-25 |
| 1073991568 | Miami Rehab Center, Inc | Clinic/Center | 11300 Nw 87th Ct, Suite # 157, Hialeah Gardens, FL 33018-4586 | 2015-05-15 |
| 1750770855 | Helping Hands Extended Care | Skilled Nursing Facility | 11300 Nw 87th Ct, Suite 162-164, Hialeah Gardens, FL 33018-4586 | 2015-01-13 |
| 1245638774 | Militza De Jesus | Registered Nurse | 11300 Nw 87th Ct, Suite-162, Hialeah Gardens, FL 33018-4586 | 2014-12-16 |
| 1649676479 | Century Medical Group, Corp | General Practice | 11300 Nw 87th Ct, Suite #141, Hialeah Gardens, FL 33018-4586 | 2014-11-05 |
| 1033341987 | R & R Rehab Corp | Behavioral Analyst | 11300 Nw 87th Ct, Suite 149, Hialeah Gardens, FL 33018-4586 | 2009-08-11 |
| 1114169505 | Biltmore Dental Associates P.a. | Clinic/Center | 11300 Nw 87th Ct, Suite#166, Hialeah Gardens, FL 33018-4586 | 2009-03-31 |
| 1639317779 | Santos Suarez Pharmacy Inc | Pharmacy | 11300 Nw 87th Ct, 149, Hialeah Gardens, FL 33018-4586 | 2009-01-28 |
| 1316108814 | Biltmore Pharmacy Inc | Pharmacy | 11300 Nw 87th Ct, 149, Hialeah Gardens, FL 33018-4586 | 2008-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238018 | Yarelis Arronte | Behavior Technician | 6989 W 36th Ave Unit 203, Hialeah, FL 33018 | 2020-06-05 |
| 1104445402 | Diana Rodriguez | Behavior Technician | 17600nw 89th Ave, Hialeah, FL 33018 | 2020-04-16 |
| 1780212381 | Patricia Del Carmen Marquez | Pharmacist | 9160 Nw 122nd St Unit #27, Hialeah Gardens, FL 33018 | 2020-03-30 |
| 1164072005 | Sunflower Alf LLC | Assisted Living Facility | 9412 Nw 177 Terr, Miami, FL 33018 | 2019-09-12 |
| 1336630946 | Yamileydi A Veiga | Behavioral Analyst | 10663 Nw 88 Ave, Hialeah Gardens, FL 33018 | 2018-05-21 |
| 1992294573 | Michelle Martinez | Specialist/Technologist | 14171 Nw 87th Ct, Miami Lakes, FL 33018 | 2018-05-09 |
| 1285130047 | Jrl Behavioral Inc | Community/Behavioral Health | 11117 E Okeechobee Rd, Ste 118, Hialeah Gardens, FL 33018 | 2018-04-02 |
| 1700385697 | United Therapy Services, LLC | Clinic/Center | 2882 W 72 Terr, Hialeah, FL 33018 | 2018-02-06 |
| 1144737149 | Yuresmi Martinez | Behavior Technician | 3240 W 70th St Unit 119, Hialeah, FL 33018 | 2017-12-29 |
| 1992210488 | De Sousa & Maniglia Dmd, Pa | Dentist | 8200 W. 33rd Ave Ste 5, Hialeah, FL 33018 | 2017-12-06 |
| Find all providers in zip 33018 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1114530664 | Complex Care of Central Florida, LLC | Pediatrics | 508 Sweetwater Club Cir, Longwood, FL 32779-2131 | 2020-08-25 |
| 1073123931 | Topaz Pediatrics, LLC | Pediatrics | 2513 E Semoran Blvd, Apopka, FL 32703-5835 | 2020-08-05 |
| 1255941688 | Doctors Memorial Health Clinic | Pediatrics | 2910 Hospital Dr Ste B, Bonifay, FL 32425-4268 | 2020-07-31 |
| 1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
| 1720603129 | Kids' Corner Pediatrics | Pediatrics | 1114 Bell Shoals Road, Brandon, FL 33511-8813 | 2020-06-11 |
| 1245855063 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 | 2020-06-09 |
| 1396369187 | Im Sulzbacher Center for The Homeless, Inc | Pediatrics | 5455 Springfield Blvd, Jacksonville, FL 32208-5166 | 2020-06-08 |
| 1255954855 | Step By Step Ppec Corp | Pediatrics | 8300 Nw 177th St, Hialeah, FL 33015-3645 | 2020-05-19 |
| 1932721107 | Dr. B's Kids, Pa | Pediatrics | 215 Nw 138th Ter Ste 100, Newberry, FL 32669-2090 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
| City | HIALEAH GARDENS |
| Zip Code | 33018 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.