Active NPI
Hector H Bolivar, MD
- Infectious Disease Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME87472
- Practice address
- 1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005 - Phone
- (305) 243-4664
- Fax
- (305) 243-8470
- NPI assigned
- Jun 27, 2006
- Last updated
- Aug 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME87472 | FL | Primary |
| Hospitalist Physician | 208M00000X | ME87472 | FL |
Addresses
Primary practice location
1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Mailing address
1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Phone (305) 243-4664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2714787-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2608 NE 16TH Ave
Wilton Manors, FL 33334-4319
Phone (954) 530-8357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| Midway Specialty Care Center Inc | Infectious Disease | Current | Accepting new patients |
| Lorena Tinoco MD PLLC | Past | Accepting new patients | |
| South Florida Infectious Disease and Tropical Medicine Center LLC | Infectious Disease | Past | Accepting new patients |
| University of Miami Hospital and Clinics | Past | Accepting new patients |
Locations
5507 S Congress Ave
Ste 150
Atlantis, FL 33462
Phone (561) 402-2589
356 E Midway Rd
Fort Pierce, FL 34982
Phone (772) 464-9746
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1611 NW 12th Ave
#16960
Miami, FL 33136
Phone (305) 243-6358
1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006
3661 S Miami Ave
Ste 202
Miami, FL 33133
Phone (305) 854-5478
1515 N Flagler Dr
Ste 200
West Palm Beach, FL 33401
Phone (561) 249-2279
2247 Palm Beach Lakes Blvd
Ste 209
West Palm Beach, FL 33409
Phone (561) 249-2279
2608 NE 16th Ave
Wilton Manors, FL 33334
Phone (954) 463-3036
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/19370/brand/1/csg/1/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Infectious Disease Physician
- Fort Pierce, FL
- NPI 1376970814
-
dba UMiami Medicine Multi Specialty Services
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
- Obstetrics & Gynecology Physician
- South Miami, FL
- NPI 1275003279
-
- Infectious Disease Physician
- South Miami, FL
- NPI 1609832559
-
dba Sylvester Comprehensive Cancer Center
- Special Hospital
- Miami, FL
- NPI 1679660617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1558398206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "BOX 016960 M851",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-243-4664",
"fax_number": "305-243-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "BOX 016960 M851",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-243-4664",
"fax_number": "305-243-8470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLIVAR",
"first_name": "HECTOR",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME87472",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME87472",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2714787-00",
"state": "FL"
}
],
"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 Aug 30, 2013; 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.