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BOLANOS CLINICAL RESEARCH LLC
NPI 1699627083
Clinic/Center - Research in Pembroke Pines, FL

Active since February 10, 2026
12105 TAFT ST, PEMBROKE PINES, FL 33026(754) 232-1114(954) 416-6283 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bolanos Clinical Research Llc NPPES

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

BOLANOS CLINICAL RESEARCH LLC (NPI 1699627083) is a healthcare organization registered as a research in Pembroke Pines, Florida and active in the NPI registry since February 2026. The organization lists Alain Alvarez Legra, Manager, as its authorized official.

NPPES Registry Identity

NPI1699627083
Entity TypeOrganization
Primary Taxonomy261QR1100X
Legal Business NameBOLANOS CLINICAL RESEARCH LLC
Location Address12105 TAFT STPembroke Pines, FL 33026-1957
Mailing Address12105 Taft StPembroke Pines, FL 33026-1957 · (754) 232-1114 · Fax (954) 416-6283
Phone(754) 232-1114
Fax(954) 416-6283
Organization SubpartNo
Authorized OfficialAlain Alvarez LegraManager · (754) 232-1114
Enumeration DateFebruary 10, 2026
NPPES CertifiedJanuary 24, 2026
✔ NPI 1699627083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · ResearchAmbulatory Health Care Facilities
Taxonomy Code261QR1100X
12105 TAFT ST, Pembroke Pines, FL 33026
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2308644

Bolanos Clinical Research Dba Bolanos Concierge Medicine · Pembroke Pines, FL
Expired · Jul 30, 2026
CLIA Number10D2308644
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2024
Certificate Expiration DateJuly 30, 2026
Laboratory DirectorYaolen Bolanos
Laboratory Phone(954) 579-0587
Laboratory LocationBolanos Clinical Research Dba Bolanos Concierge Medicine12105 Taft St, Pembroke Pines, FL 33026
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

CHARRIS REHAB INC
Physical Therapist
12105 TAFT ST
PEMBROKE PINES, FL 33026
Broward County (954) 641-9507
BOLANOS CONCIERGE MEDICINE LLC
Clinic/Center (Primary Care)
12105 TAFT ST
PEMBROKE PINES, FL 33026
Broward County (754) 232-1114
YAOLEN BOLANOS MD
Internal Medicine
12105 TAFT ST
PEMBROKE PINES, FL 33026
Broward County (754) 232-1114

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 Bolanos Clinical Research LLC's NPI number?

The NPI number for Bolanos Clinical Research LLC is 1699627083. It was assigned to this organization in the NPPES registry on February 10, 2026.

Where is Bolanos Clinical Research LLC located?

Bolanos Clinical Research LLC is located at 12105 Taft St, Pembroke Pines, FL 33026. The listed phone number is (754) 232-1114.

What is Bolanos Clinical Research LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Research, with taxonomy code 261QR1100X.

When was this NPI record last updated?

The NPPES record for Bolanos Clinical Research LLC was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.