Edwin Bossolo, MD

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

008747 Issued in PR

Practice address

#5101 Paseo El Verde
Caquas, PR 00725

Phone

(361) 813-7798

NPI assigned

Jan 4, 2008

Last updated

Jan 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1689859068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#5101 PASEO EL VERDE",
            "city": "CAQUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "361-813-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#5101 PASEO EL VERDE",
            "city": "CAQUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "361-813-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSOLO",
        "first_name": "EDWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "PR",
            "license": "008747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael E Alonso Godinez, MD
• Ivya E Diaz Vidal, MD INTERNAL MEDICINE
• Instituto Gineco-Obstetrico de Caguas CSP
• Intermed OB GYN Group
• Pedro M Kareh-Cordero, MD
• Jose M Maldonado, CLINICAL PSYCHOLOGIS

• Occupational Medicine Physician in Caquas, PR
• Providers in Caquas, PR by specialty
• Occupational Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.