Jorge Bosque

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

09-187 Issued in FL

Practice address

562 E 44TH St
Hialeah, FL 33013

Phone

(786) 718-0896

NPI assigned

May 15, 2009

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1689809956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 E 44TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131914",
            "telephone_number": "786-718-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 E 44TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33013",
            "telephone_number": "786-718-0896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Sarno Rd",
            "address_2": "Suite 15",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329354938",
            "country_code": "US",
            "telephone_number": "800-348-4565 x3321",
            "fax_number": "888-468-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSQUE",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-15",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "09-187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Alberto Borroto Bermudez, MD
• Betty Lynn Borsky-Berko, O.D.
• Macyel Bory, RBT
• Bosmenier Therapy Inc
• Geysser Bosque
• Janeth Bossa, BA
• Linette Botana, APRN
• Ana Raquel Botello Frometa
• Brianna Botteri
• Lisgrace D Boucugnani

• Surgical Assistant in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.