DR. GUILLERMO BOLANOS MD
NPI 1619072949
Surgery - Surgical Critical Care in Ponce, PR
About Dr. Guillermo Bolanos Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GUILLERMO BOLANOS MD (NPI 1619072949) is an individual surgical critical care provider in Ponce, Puerto Rico, licensed in Puerto Rico (11460) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Episcopal San Lucas Ii, and is a graduate of Other (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Guillermo Bolanos Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Guillermo Bolanos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ponce, PR 00716
- Reassigned Medicare billing, Puerto Rico enrollment
- Medicare enrollment name: Bolanos Surgical Services Csp
- 5 clinicians in this Medicare group
Ponce, PR 00716
- Reassigned Medicare billing, Puerto Rico enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital Episcopal San Lucas II
Acute Care Hospitals · Ponce, PRMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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 Guillermo Bolanos's NPI number?
The NPI number for Guillermo Bolanos is 1619072949. It was assigned to this individual provider in the NPPES registry on September 13, 2006.
Where is Guillermo Bolanos located?
Guillermo Bolanos practices at 909 Ave Tito Castro Ste 723 Torre Medica San Lucas, Ponce, PR 00716. The listed phone number is (787) 259-3355.
What is Guillermo Bolanos's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.
Is Guillermo Bolanos enrolled in Medicare?
Yes. Guillermo Bolanos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Guillermo Bolanos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Guillermo Bolanos reassigns Medicare benefits to 2 organizations: Bolanos Surgical Services,c.S.P. (Ponce, PR) and Southern Bariatric Services Psc (Ponce, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Guillermo Bolanos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Guillermo Bolanos affiliated with any hospitals?
According to CMS data, Guillermo Bolanos is affiliated with Hospital Episcopal San Lucas II.
When was this NPI record last updated?
The NPPES record for Guillermo Bolanos was last updated on February 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Guillermo Bolanos, MD · NPI 1619072949
Surgical Critical Care physician in Ponce, Puerto Rico. Individual provider, active in the CMS NPPES registry since September 13, 2006.
## Identity
- **NPI:** 1619072949 (Entity type: Individual)
- **Enumerated:** September 13, 2006
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** 11460 (Puerto Rico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 909 AVE TITO CASTRO STE 723, TORRE MEDICA SAN LUCAS, Ponce, PR 00716-4725
- **Phone:** (787) 259-3355 · **Fax:** (787) 259-3355
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Bolanos Surgical Services,c.S.P. (NPI 1548599525, Ponce, PR); Southern Bariatric Services Psc (NPI 1750154787, Ponce, PR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1984
## Record status
- **NPPES last updated:** February 14, 2008
- **Other identifiers:** Medicare UPIN G40268 (PR); Medicare ID-Type Unspecified 0088810 (PR)
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Source: [NPI Profile](https://npiprofile.com/npi/1619072949) · Data from the CMS NPPES public registry.