Individual
DR. GUILLERMO BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 AVE TITO CASTRO STE 723, TORRE MEDICA SAN LUCAS, PONCE, PR 00716-4725
(787) 259-3355
(787) 259-3355
Mailing address
COSTA CARIBE GOLF VILLA, CALLE DON QUIJOTE 1249, PONCE, PR 00716
(787) 841-1949
(787) 812-0565
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
11460
PR
Other
Enumeration date
09/13/2006
Last updated
02/14/2008
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