MEDICARE: DR. HECTOR BOLIVAR BERNABE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	043696	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104815406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HECTOR BOLIVAR BERNABE DDS

Provider Business Mailing Address
First Line	:	1916 GRAND CONCOURSE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-5201
Country	:	US
Telephone Number	:	718-716-1400
Fax Number	:	718-716-7025

Provider Business Practice Location Address
First Line	:	1916 GRAND CONCOURSE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-5201
Country	:	US
Telephone Number	:	718-716-1400
Fax Number	:	718-716-7025

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	07/09/2007

Similar Medicare Providers

1366601189 — BERNABE GENERAL DENTISTRY PC
Practice Location Address:

1916 GRAND CONCOURSE , SUITE 1A
BRONX, NY
10457-5201

Practice Phone: 718-716-1400
Practice Fax: 718-716-7025

1871753004 — HECTOR CHRISTIAN BERNABE RDH
Practice Location Address:

1916 GRAND CONCOURSE
BRONX, NY
10457-5201

Practice Phone: 718-716-1400
Practice Fax:

1386463586 — WASHINGTON HEIGHTS FAMILY HEALTH NP
Practice Location Address:

1831 ANDREWS AVE S STE 1
BRONX, NY
10453-5201

Practice Phone: 646-389-5335
Practice Fax:

1548256183 — SINDHU GUPTA M.D.
Practice Location Address:

1624 CROSBY AVE
BRONX, NY
10461-5201

Practice Phone: 718-822-2138
Practice Fax: 718-822-6515

1053420513 — RITE AID OF NEW YORK INC
Practice Location Address:

52 37 BROADWAY
BRONX, NY
10463-5201

Practice Phone: 718-548-2200
Practice Fax:

1811036429 — SINDHU GUPTA, MD,PC
Practice Location Address:

1624 CROSBY AVE
BRONX, NY
10461-5201

Practice Phone: 718-822-2138
Practice Fax: 718-822-6515

Directions to “ DR. HECTOR BOLIVAR BERNABE DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.