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JOSE BOLANOS MD
NPI 1114644481
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since October 26, 2022
2 RICHMOND SQ STE 110, PROVIDENCE, RI 02906(401) 414-1400(401) 414-1401 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jose Bolanos Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE BOLANOS MD (NPI 1114644481) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1114644481
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSE BOLANOSCredential: MD
Location Address2 RICHMOND SQ STE 110Providence, RI 02906-5135
Mailing Address2 Richmond Sq Ste 110Providence, RI 02906-5135 · (401) 414-1400 · Fax (401) 414-1401
Phone(401) 414-1400
Fax(401) 414-1401
Sole ProprietorNo
Enumeration DateOctober 26, 2022
NPPES CertifiedOctober 26, 2022
✔ NPI 1114644481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2 RICHMOND SQ STE 110, Providence, RI 02906
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INNOVATE HEALTH SOLUTIONS, LLC
Internal Medicine
2 RICHMOND SQ STE 110
PROVIDENCE, RI 02906
Providence County (774) 432-0446
LEONARD ALAN BERKOWITZ PA-C
Physician Assistant
2 RICHMOND SQ STE 110
PROVIDENCE, RI 02906
Providence County (401) 414-1400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Bolanos's NPI number?

The NPI number for Jose Bolanos is 1114644481. It was assigned to this individual provider in the NPPES registry on October 26, 2022.

Where is Jose Bolanos located?

Jose Bolanos practices at 2 Richmond Sq Ste 110, Providence, RI 02906. The listed phone number is (401) 414-1400.

What is Jose Bolanos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jose Bolanos was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.