Organization Active NPI

Hernan Diaz-Bolano MD PA

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1548579899
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44883 Issued in FL
Legal business name
HERNAN DIAZ-BOLANO MD PA
Practice address
9621 SW 40TH St
Miami, FL 33165-4030
Phone
(786) 394-3429
Fax
(305) 503-8545
NPI assigned
Oct 5, 2010
Last updated
Oct 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Hernan Diaz-Bolano, M.D.NPI 1578527529
Title
Physician
Phone
(786) 394-3429

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44883 FL Primary

Addresses

Primary practice location

9621 SW 40TH St
Miami, FL 33165-4030

Mailing address

8200 Miller Dr
Miami, FL 33155-5423
Phone (786) 294-3429

National Provider Directory

National Provider Directory
Tax ID family
Hernan Diaz Bolano MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9621 SW 40th St
Miami, FL 33165
Phone (305) 223-1551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1548579899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 MILLER DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555423",
            "telephone_number": "786-294-3429",
            "fax_number": "305-503-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9621 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654030",
            "telephone_number": "786-394-3429",
            "fax_number": "305-503-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNAN DIAZ-BOLANO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "DIAZ-BOLANO",
        "authorized_official_first_name": "HERNAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "786-394-3429",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "44883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.