1023335767 NPI number — HERNAN DIAZ BOLANO MD PA

Table of content: (NPI 1023335767)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023335767 NPI number — HERNAN DIAZ BOLANO MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HERNAN DIAZ BOLANO MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023335767
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8200 MILLER DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33155-5423
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-394-3429
Provider Business Mailing Address Fax Number:
305-503-8545

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8600 SW 92ND ST
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33156-7397
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-394-3429
Provider Business Practice Location Address Fax Number:
305-503-8545
Provider Enumeration Date:
04/20/2010

Additional Information

Authorized Official

Authorized Official Last Name:
DIAZ BOLANO
Authorized Official First Name:
HERNAN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/PHYSICIAN
Authorized Official Telephone Number:
786-394-3429

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  44883 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 069781800 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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