Eduardo Fausto Bolumen, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0065418 Issued in FL

Practice address

201 Hilda St Ste 10
Kissimmee, FL 34741-2359

Phone

(407) 574-4848

Fax

(407) 518-1919

NPI assigned

Mar 22, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Research of Miami LLCGroup PAC ID 5193177384, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Research of Miami LLC

  • Adult Mental Health Clinic/Center
  • Miami, FL
  • NPI 1134904741

  General Practice

  Medicare reassignment Care Compare group NPD
• Your Health Pediatrics, Inc

  • Pediatrics Physician
  • Kissimmee, FL
  • NPI 1932643368
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1174582639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HILDA ST STE 10",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412359",
            "telephone_number": "407-574-4848",
            "fax_number": "404-518-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HILDA ST STE 10",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412359",
            "telephone_number": "407-574-4848",
            "fax_number": "407-518-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLUMEN",
        "first_name": "EDUARDO",
        "middle_name": "FAUSTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0065418",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0065418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3743268-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Bohon, MA, LMHC
• Amjad Bokhari, MD
• Nora E Bolanos, MD
• Arianna Bolivar Bolivar
• Kevin Melton Bolton, M.D.
• Rajesh Bommareddy
• Jose Bones, RN
• Keishla Michelle Bonilla Martinez
• Jose Bonilla, PHARMD
• Marlyn Bonilla

• Pediatrics Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.