Organization Active NPI

Juan R. Bolet, M.D.P.a

  • Urology Physician
  • Miami Beach, FL
National Provider Identifier
1346572138
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
13524 Issued in FL
Legal business name
JUAN R. BOLET, M.D.P.A
Practice address
1800 Purdy Ave
Apt. 1408
Miami Beach, FL 33139-1465
Phone
(305) 856-4153
Fax
(786) 275-6990
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Dr. Juan R Bolet, MD
Title
President
Phone
(305) 856-4153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 13524 FL Primary

Addresses

Primary practice location

1800 Purdy Ave
Apt. 1408
Miami Beach, FL 33139-1465

Mailing address

1800 Purdy Ave
Apt. 1408
Miami Beach, FL 33139-1465
Phone (305) 856-4153

Other identifiers 1

IdentifierTypeStateIssuer
047013900MedicaidFL

National Provider Directory

National Provider Directory

Locations

3661 S Miami Ave
Ste 1
Miami, FL 33133
Phone (305) 856-4153

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1346572138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PURDY AVE",
            "address_2": "APT. 1408",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331391465",
            "telephone_number": "305-856-4153",
            "fax_number": "786-275-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PURDY AVE",
            "address_2": "APT. 1408",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331391465",
            "telephone_number": "305-856-4153",
            "fax_number": "786-275-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN R. BOLET, M.D.P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "BOLET",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-856-4153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "13524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047013900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.