Yezmin H Bolanos, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20979 Issued in PR

Practice address

3348 Calle Dona Juana
Vista Point
Ponce, PR 00716-4826

Phone

(787) 458-4838

Fax

(787) 259-0991

NPI assigned

Jul 12, 2010

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

Medicare fee-for-service enrollment

Enrolled in PR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Southern Health Care Group, Inc.

  • Internal Medicine Physician
  • Guayama, PR
  • NPI 1780770917
  Medicare reassignment NPD

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1700198389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 CALLE DONA JUANA",
            "address_2": "VISTA POINT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-458-4838",
            "fax_number": "787-259-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3348 CALLE DONA JUANA",
            "address_2": "VISTA POINT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164826",
            "telephone_number": "787-458-4838",
            "fax_number": "787-259-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANOS",
        "first_name": "YEZMIN",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "20979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luisa Bocachica, RPT
• Bolanos Surgical Services,C.S.P.
• Adriana Maria Bolanos
• Guillermo Bolanos, MD
• Victor Antonio Bolanos
• Bonati Medica LLC
• Jorge L. Bonilla Davila, O.D.
• Paola Gybelle Bonilla Hernandez
• Gabriel Enrique Bonilla Maldonado
• Jose Javier Bonilla Pizarro

• Internal Medicine Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.