MEDICARE: DR. GUILLERMO BOLANOS MD

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	2086S0102X	Surgical Critical Care Physician	11460	PR

General Provider Information

NPI Number	:	1619072949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUILLERMO BOLANOS MD

Provider Business Mailing Address
First Line	:	COSTA CARIBE GOLF VILLA
Second Line	:	CALLE DON QUIJOTE 1249
City	:	PONCE
State	:	PR
Zip	:	00716
Country	:	US
Telephone Number	:	787-841-1949
Fax Number	:	787-812-0565

Provider Business Practice Location Address
First Line	:	909 AVE TITO CASTRO STE 723
Second Line	:	TORRE MEDICA SAN LUCAS
City	:	PONCE
State	:	PR
Zip	:	00716-4725
Country	:	US
Telephone Number	:	787-259-3355
Fax Number	:	787-259-3355

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	02/14/2008

Similar Medicare Providers

1205899853 — DR. LUIS J TORRUELLA MD, FACS
Practice Location Address:

909 AVE TITO CASTRO SUITE 822 , TORRE MEDICA SAN LUCAS
PONCE, PR
00716-4725

Practice Phone: 787-284-0804
Practice Fax: 787-284-0512

1699946236 — INSTITUTO VASCULAR DEL SUR CSP
Practice Location Address:

909 AVE. TITO CASTRO SUITE 822 , TORRE MEDICA SAN LUCAS
PONCE, PR
00716-4725

Practice Phone: 787-284-0804
Practice Fax: 787-284-0512

1447563960 — SKIN CARE SPECIALISTS INC
Practice Location Address:

909 AVE TITO CASTRO , STE 804
PONCE, PR
00716-4725

Practice Phone: 787-648-8115
Practice Fax: 787-651-1498

1912214040 — PONCE NEUROLOGICAL CONSULTANTS INC.
Practice Location Address:

909 AVE TITO CASTRO , SUITE 804
PONCE, PR
00716-4725

Practice Phone: 787-648-8115
Practice Fax: 787-651-1498

1851656672 — LAURA E RODRIGUEZ RIVERA M.D.
Practice Location Address:

909 AVE TITO CASTRO , SUITE 723 TORRE MEDICA SAN LUCAS
PONCE, PR
00716-4725

Practice Phone: 787-259-3355
Practice Fax: 787-844-3003

1861804197 — DR RICARDO VILLALOBOS GONZALEZ PSC
Practice Location Address:

909 AVE TITO CASTRO STE 804 , TORREMEDICA SAN LUCAS
PONCE, PR
00716-4725

Practice Phone: 787-648-8115
Practice Fax: 787-651-1498

Directions to “ DR. GUILLERMO BOLANOS MD” 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 © 2007-2026 (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.