Jose Bolanos, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Providence, RI
NPI 1114644481 · NPPES record last updated Oct 26, 2022
Key facts
- NPI
- 1114644481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2 Richmond SQ Ste 110
Providence, RI 02906-5135 - Phone
- (401) 414-1400
- Fax
- (401) 414-1401
- NPI assigned
- Oct 26, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovate Health Solutions, LLC | Current |
Accepting new patients |
Locations
2 Richmond Sq
Ste 110
Providence, RI 02906
Phone (401) 414-1400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
2 Richmond SQ Ste 110
Providence, RI 02906-5135
Mailing address
2 Richmond SQ Ste 110
Providence, RI 02906-5135
Phone (401) 414-1400
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | FHIRv430 |
Other providers in Providence, RI
- Kapedjanie Bois
- Sean Boisvert
- Lori B Boivin
- Areta L Bojko
- Steven Bokshan
- Olivia Karen Boling
- Traci M Bologna-Jill
- Marianne Bonanno
- Andrea Ruth Bonas
- Steven J Bonauto
All providers in Providence, RI · Student in an Organized Health Care Education/Training Program in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2022. 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.