Organization
BOLANOS SURGICAL SERVICES,C.S.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO BOLANOS-AVILA MD (PRESIDENT)
(787) 290-4731
Entity
Organization
Contact information
Practice address
909 AVE TITO CASTRO, SUITE 723 TORRE MEDICA SAN LUCAS, PONCE, PR 00716-4728
(787) 290-4731
(787) 259-3355
Mailing address
1249 CALLE DON QUIJOTE, COSTA CARIBE GOLF VILLA, PONCE, PR 00716-2022
(787) 290-4731
(787) 259-3355
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
—
—
Other
Enumeration date
12/21/2009
Last updated
08/19/2014
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