Active NPI
Hernan Diaz Bolano MD PA
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1023335767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 44883
- Legal business name
- HERNAN DIAZ BOLANO MD PA
- Practice address
- 8600 SW 92ND St
Suite 101
Miami, FL 33156-7397 - Phone
- (786) 394-3429
- Fax
- (305) 503-8545
- NPI assigned
- Apr 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hernan Diaz Bolano, MD
- Title
- Owner/Physician
- Phone
- (786) 394-3429
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 44883 | FL | Primary |
Addresses
Primary practice location
8600 SW 92ND St
Suite 101
Miami, FL 33156-7397
Mailing address
8200 Miller Dr
Miami, FL 33155-5423
Phone (786) 394-3429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069781800 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Hernan Diaz Bolano MD PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Miami, FL
- NPI 1548579899
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Miami, FL
- NPI 1578527529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271721600000",
"number": "1023335767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 MILLER DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555423",
"telephone_number": "786-394-3429",
"fax_number": "305-503-8545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 SW 92ND ST",
"address_2": "SUITE 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567397",
"telephone_number": "786-394-3429",
"fax_number": "305-503-8545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERNAN DIAZ BOLANO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-20",
"last_updated": "2010-04-20",
"status": "A",
"authorized_official_last_name": "DIAZ BOLANO",
"authorized_official_first_name": "HERNAN",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "786-394-3429",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "44883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069781800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.