Bolanos Concierge Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BOLANOS CONCIERGE MEDICINE LLC

Practice address

12105 Taft St
Pembroke Pines, FL 33026-1957

Phone

(754) 232-1114

Fax

(954) 416-6283

NPI assigned

Jan 23, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Alain Alvarez Legra

Title

Manager

Phone

(754) 232-1114

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yaolen Bolanos, MD

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1942402045
  NPD

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1740139690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 TAFT ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261957",
            "telephone_number": "754-232-1114",
            "fax_number": "954-416-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12105 TAFT ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261957",
            "telephone_number": "754-232-1114",
            "fax_number": "954-416-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLANOS CONCIERGE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ LEGRA",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "754-232-1114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bodytantrums LLC
• Christine Ann Bohan, ARNP
• Nathan Boire, MD
• Bojana Bhardwaj MD PA
• Bolanos Clinical Research LLC
• Melody Bolanos, O.D.
• Vicente A Bolanos I
• Yaolen Bolanos, MD
• Debra J. Bolger, LCSW
• Cristina Bolivar, APRN, FNP-C

• Primary Care Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.