Bosan Residence Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8355 Issued in FL

Legal business name

BOSAN RESIDENCE CORP

Practice address

1754 NW 6TH St
Miami, FL 33125-4506

Phone

(305) 649-3492

NPI assigned

Aug 2, 2008

Organization subpart

No

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

Authorized official

Name

Edelma Pons

Title

Administrator

Phone

(305) 649-3492

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1217635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217635200000",
    "number": "1184880775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 NW 6TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254506",
            "telephone_number": "305-649-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 NW 6TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254506",
            "telephone_number": "305-649-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSAN RESIDENCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-02",
        "last_updated": "2008-08-02",
        "status": "A",
        "authorized_official_last_name": "PONS",
        "authorized_official_first_name": "EDELMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-649-3492"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debora Bortnik, LMHC
• Michelle Bortnik, LMFT
• Adam Justin Boruck, ARNP
• Eric Ian Boruck, APRN
• Edwin Bosa-Osorio, M.D.
• Andrea Boscan Caldera
• Greyli Andreina Boscan Castellano
• Renata Valentina Boscan Ravelo
• Maria Boscan Toledo
• Greterlin Boscan

• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.