Boise Medical Center Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BOISE MEDICAL CENTER INC

Practice address

7715 NW 48TH St Ste 350
Doral, FL 33166-5473

Phone

(786) 536-7268

Fax

(786) 536-7608

NPI assigned

Jan 31, 2020

Last updated

Jan 31, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cesar J Diaz Hernandez

Title

Owner

Phone

(786) 536-7268

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1629609326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 NW 48TH ST STE 350",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665473",
            "telephone_number": "786-536-7268",
            "fax_number": "786-536-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 NW 48TH ST STE 350",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665473",
            "telephone_number": "786-536-7268",
            "fax_number": "786-536-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "DIAZ HERNANDEZ",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-536-7268"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Livet Boffil, DMD
• Martha Bofill, PSY.D.
• Yolanda Bogarin, OD PA
• Fiorina Cecilia Boggiano, OTR/L
• Laura Bohorquez
• Alejandra Boker, RD
• Haley C Bokros, DPT
• Grethel Virginia Bolanos
• Lilliana Mercedes Bolanos
• Angelica Maria Bolivar de Briceno

• Physical Medicine & Rehabilitation Physician in Doral, FL
• Providers in Doral, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.