Isis Bolanos
Individual provider Active NPI Case Manager/Care Coordinator · Opa Locka, FL
NPI 1043972003 · NPPES record last updated Oct 7, 2021
Key facts
- NPI
- 1043972003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 770 Curtiss Dr
Opa Locka, FL 33054-3014 - Phone
- (786) 975-4784
- NPI assigned
- Oct 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
770 Curtiss Dr
Opa Locka, FL 33054-3014
Mailing address
770 Curtiss Dr
Opa Locka, FL 33054-3014
Phone (786) 975-4784
Other providers in Opa Locka, FL
- Yana Nicole Blaise
- Yolande Blanchard
- Yusleidy Blanco Suarez
- Alicia Blanco
- Pierre R Blemur
- Ismaray Borges
- Sylvia Boynton
- Yunet Breto
- Anaelis Brito Maestri
- Wendy Brown
All providers in Opa Locka, FL · Case Manager/Care Coordinator in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.