Jose Humberto Bolanos, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME45625 Issued in FL

Practice address

7217 Green Slope Dr
Zephyrhills, FL 33541-1306

Phone

(813) 782-5086

Fax

(813) 715-4899

NPI assigned

Jul 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366461766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 GREEN SLOPE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411306",
            "telephone_number": "813-782-5086",
            "fax_number": "813-715-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 GREEN SLOPE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411306",
            "telephone_number": "813-782-5086",
            "fax_number": "813-715-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANOS",
        "first_name": "JOSE",
        "middle_name": "HUMBERTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME45625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Blendowski, APRN
• Blessed Bilingual Therapies (Blessed Bilingual Therapies, LLC)
• Julie Anna Bohlen, DC
• Christine Boido
• Meliza Boiser, PT
• Jose L Bonilla, CRNA
• Latoya Booker
• Allyssa Bouvet, APRN
• Iris C Anderson Bracken, ARNP-C
• William Kimball Bradfield, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.