Raquel Bolado, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J9979 Issued in TX

Practice address

1706 Treasure Hills Blvd
Harlingen, TX 78550-8911

Phone

(956) 365-6000

NPI assigned

Sep 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Ohio University, College of Osteopathic Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Su Clinica Familiar 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• VHS Harlingen Hospital Company LLC Hospital, Harlingen, TX, CCN 450033

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: raquel.bolado.1@27715.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Su Clinica Familiar

  • Federally Qualified Health Center (FQHC)
  • Harlingen, TX
  • NPI 1285643304

  TX

  Medicare reassignment Care Compare group NPD
• Su Clinica Familiar

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, TX
  • NPI 1386960862
  Care Compare group
• Su Clinica Familiar

  • Federally Qualified Health Center (FQHC)
  • Harlingen, TX
  • NPI 1427071968
  Care Compare group
• Su Clinica Familiar

  • Federally Qualified Health Center (FQHC)
  • Brownsville, TX
  • NPI 1811901655
  Care Compare group
• Su Clinica Familiar

  • Federally Qualified Health Center (FQHC)
  • Raymondville, TX
  • NPI 1871516807
  Care Compare group
• Su Clinica Familiar

  • Federally Qualified Health Center (FQHC)
  • Harlingen, TX
  • NPI 1639171804
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• VHS Harlingen Hospital Company LLC

  • General Acute Care Hospital
  • Harlingen, TX
  • NPI 1154618742

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1125878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679567713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 TREASURE HILLS BLVD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508911",
            "telephone_number": "956-365-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 TREASURE HILLS BLVD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508911",
            "telephone_number": "956-365-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 FM RD 511",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785269492",
            "country_code": "US",
            "telephone_number": "956-831-8338",
            "fax_number": "956-831-3285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLADO",
        "first_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121416504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bliss W Clark MD PA
• Maricruz R Bloomquist, F.N.P
• Blue Sky Pediatric Home Healthcare, LLC
• Blue Sprig
• Lukas Bogden, PA-C
• Jocelyn Bolduc, RPH
• Christina M Bolton, M.D.
• Daniel Paul Bolton, M.D
• Laura Lee Bonde, LCSW
• Eleonzetta Enjoli Bonilla, M.S, CCC-SLP/BCBA

• All providers in Harlingen, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.