Individual
DR. ALBERTO ANTONIO BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 HOSPITAL LOOP NE STE 201, ALBUQUERQUE, NM 87109-2128
(505) 727-4430
Mailing address
100 S SAN MATEO DR, SUITE 424, SAN MATEO, CA 94401-3805
(650) 262-4262
(650) 262-5862
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G84190
CA
207X00000X
Orthopaedic Surgery Physician
Primary
MD2024-0451
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD2024-0451
NM LICENSE
NM
Enumeration date
10/04/2006
Last updated
08/22/2025
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