BOLANOS SURGICAL SERVICES,C.S.P. (NPI# 1548599525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548599525 |
| Entity Type | Organization |
| Organization Name | BOLANOS SURGICAL SERVICES,C.S.P. |
| Practice Address |
909 Ave Tito Castro Suite 723 Torre Medica San Lucas Ponce PR 00716-4728 |
| Mailing Address |
1249 Calle Don Quijote Costa Caribe Golf Villa Ponce PR 00716-2022 |
| Practice Telephone | 7872904731 |
| Practice Fax Number | 7872593355 |
| Mailing Telephone | 7872904731 |
| Mailing Fax Number | 7872593355 |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2014-08-19 |
| Authorized Official Name | DR. GUILLERMO BOLANOS-AVILA (PRESIDENT) |
| Authorized Official Telephone | 7872904731 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians |
| Street Address |
909 AVE TITO CASTRO SUITE 723 TORRE MEDICA SAN LUCAS |
| City | PONCE |
| State | PR |
| Zip Code | 00716-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057033 | Cesar P Cruz-garcia | Internal Medicine | 909 Ave Tito Castro, Suite 522 San Lucas Medical Building, Ponce, PR 00716-4728 | 2005-07-15 |
| 1669083978 | Caribbean Professional Health Group, LLC | Family Medicine | 909 Ave Tito Castro, Torre San Lucas Suite 513, Ponce, PR 00716 | 2020-08-11 |
| 1538518261 | Preventive Care Services By Apex | Clinic/Center | 909 Ave Tito Castro, Torre Medica Hospital San Lucas Suite 105, Ponce, PR 00716-0105 | 2016-06-03 |
| 1275989451 | Southern Hospitalist Services Psc | General Acute Care Hospital | 909 Ave Tito Castro, Ste 609 Torre Medica San Lucas, Ponce, PR 00716 | 2016-05-06 |
| 1407220692 | Vbm Medicine Psc | Internal Medicine | 909 Ave Tito Castro, Suite 610, Ponce, PR 00716-4728 | 2015-11-25 |
| 1477960334 | Urosalud, P.s.c. | Urology | 909 Ave Tito Castro, Torre Medica San Lucas Suite #510, Ponce, PR 00716-4728 | 2014-07-11 |
| 1851656672 | Laura E Rodriguez Rivera | Surgery | 909 Ave Tito Castro, Suite 723 Torre Medica San Lucas, Ponce, PR 00716-4725 | 2012-07-09 |
| 1023399441 | Rrb Heart & Vascular Physicians, Psc | Internal Medicine | 909 Ave Tito Castro, Torre Medica San Lucas Suite 504, Ponce, PR 00716-4728 | 2011-08-30 |
| 1699068858 | Dr. Reynaldo De Jesus Rodriguez Psc | Neurological Surgery | 909 Ave Tito Castro, Torre Medica San Lucas Suite 614, Ponce, PR 00716-4728 | 2011-05-20 |
| 1912214040 | Ponce Neurological Consultants Inc. | Psychiatry & Neurology | 909 Ave Tito Castro, Suite 804, Ponce, PR 00716-4725 | 2010-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148041 | Amanda Ivette Orta Colon | General Practice | Los Caobos C/guayacan #1691, Ponce, PR 00716 | 2020-09-09 |
| 1568074052 | Isabel Victoria Vazquez Morales | Student in an Organized Health Care Education/Training Program | 388 Zona Industrial Rapada 2, Ponce, PR 00716 | 2020-08-18 |
| 1629687199 | Maria Elena Carvajal Mock | Student in an Organized Health Care Education/Training Program | La Alhambra, Calle Lindaraja 2609, Ponce, PR 00716 | 2020-07-30 |
| 1518576651 | Gabriel Domingo Palmieri Lagares | Student in an Organized Health Care Education/Training Program | Villa Del Carmen Ave Constancia 4406, Ponce, PR 00716 | 2020-07-24 |
| 1417565151 | Jose Rafael Pascual | Student in an Organized Health Care Education/Training Program | Phsu,388 Zona Industrial Reparada 2,ponce,pr 00716, Ponce, PR 00716 | 2020-07-20 |
| 1790302412 | Isha Marie Valerio Martinez | Social Worker | Urb Villa Del Carmen Ave Constancia, 4407, Ponce, PR 00716 | 2020-06-29 |
| 1619592011 | Luz Jeilin Morales Cruz | Psychologist | Urb Inductrial Reparada #291, Ponce, PR 00716 | 2020-06-11 |
| 1609491208 | Hogar Las Aguilas Incorporado | Custodial Care Facility | La Rambla Office Park, 621 Carr 14 Calle Marginal, Ponce, PR 00716 | 2020-06-10 |
| 1841813607 | Special Tactics and Rescue Services Corp | Case Management | 6020 Amalia Marin, Trucha, Ponce, PR 00716 | 2020-05-27 |
| 1629691274 | Heidi Ann Negron | Registered Nurse | Parcelas Sabanetas 25 Julio, 132, Ponce, PR 00716 | 2020-05-18 |
| Find all providers in zip 00716 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619072949 | Guillermo Bolanos | Surgery | 909 Ave Tito Castro Ste 723, Torre Medica San Lucas, Ponce, PR 00716-4725 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619969698 | Julio A. Peguero Rivera | Surgery | 25 Calle Betances, Santa Isabel, PR 00757-2618 | 2005-08-16 |
Please comment or provide details below to improve the information on BOLANOS SURGICAL SERVICES,C.S.P..
| 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.