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DR. GUILLERMO BOLANOS MD
NPI 1619072949
Surgery - Surgical Critical Care in Ponce, PR

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
909 AVE TITO CASTRO STE 723, TORRE MEDICA SAN LUCAS, PONCE, PR 00716(787) 259-3355(787) 259-3355 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1619072949
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. GUILLERMO BOLANOSCredential: MD
Location Address909 AVE TITO CASTRO STE 723, TORRE MEDICA SAN LUCASPonce, PR 00716-4725
Mailing AddressCosta Caribe Golf Villa, Calle Don Quijote 1249Ponce, PR 00716 · (787) 841-1949 · Fax (787) 812-0565
Phone(787) 259-3355
Fax(787) 259-3355
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateSeptember 13, 2006
Last NPPES UpdateFebruary 14, 2008
✔ NPI 1619072949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in PR · 11460
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
909 AVE TITO CASTRO STE 723, Ponce, PR 00716
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Other Identifiers 2

Medicare UPING40268PR
Medicare ID-Type Unspecified0088810PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9234224999
PECOS Enrollment IDI20070926001095
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400044
Location917 Ave Tito CastroPonce, PR 00716 · Ponce County
Emergency services Birthing friendly

Medicare 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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%24 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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.