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BOLANOS CONCIERGE MEDICINE LLC
NPI 1740139690
Clinic/Center - Primary Care in Pembroke Pines, FL

Active since January 23, 2026
12105 TAFT ST, PEMBROKE PINES, FL 33026(754) 232-1114(954) 416-6283 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bolanos Concierge Medicine Llc NPPES

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

BOLANOS CONCIERGE MEDICINE LLC (NPI 1740139690) is a healthcare organization registered as a primary care in Pembroke Pines, Florida and active in the NPI registry since January 2026. The organization lists Alain Alvarez Legra, Manager, as its authorized official.

NPPES Registry Identity

NPI1740139690
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBOLANOS CONCIERGE MEDICINE 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 DateJanuary 23, 2026
NPPES CertifiedJanuary 23, 2026
✔ NPI 1740139690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
12105 TAFT ST, Pembroke Pines, FL 33026
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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
YAOLEN BOLANOS MD
Internal Medicine
12105 TAFT ST
PEMBROKE PINES, FL 33026
Broward County (754) 232-1114
BOLANOS CLINICAL RESEARCH LLC
Clinic/Center (Research)
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 Concierge Medicine LLC's NPI number?

The NPI number for Bolanos Concierge Medicine LLC is 1740139690. It was assigned to this organization in the NPPES registry on January 23, 2026.

Where is Bolanos Concierge Medicine LLC located?

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

What is Bolanos Concierge Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Bolanos Concierge Medicine LLC was last updated on January 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.