Yaolen Bolanos, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME104624 Issued in FL

Practice address

12105 Taft St
Pembroke Pines, FL 33026-1957

Phone

(754) 232-1114

Fax

(954) 416-6283

NPI assigned

Jun 1, 2007

Sex

Female

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

Enrolled in FL

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

Practice roles

Locations

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.

• Sunsouth Health Centers South Florida, LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1114585643
  Medicare reassignment NPD
• Bolanos Clinical Research LLC

  • Research Clinic/Center
  • Pembroke Pines, FL
  • NPI 1699627083
  NPD
• Bolanos Concierge Medicine LLC

  • Primary Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1740139690
  NPD

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1942402045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13876 NW 21ST ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282619",
            "telephone_number": "954-579-0587"
        },
        {
            "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": {
        "last_name": "BOLANOS",
        "first_name": "YAOLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME104624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bojana Bhardwaj MD PA
• Bolanos Clinical Research LLC
• Bolanos Concierge Medicine LLC
• Melody Bolanos, O.D.
• Vicente A Bolanos I
• Debra J. Bolger, LCSW
• Cristina Bolivar, APRN, FNP-C
• Byanca Bolivard, COTA/L
• Augustine A Bollo, DPM
• Edgar B Bolton Jr., DO

• Internal Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.