Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bolanos Concierge Medicine LLC

Organization Primary Care Clinic/Center · NPI 1740139690

Bolanos Concierge Medicine LLC is a Primary Care Clinic/Center in Pembroke Pines, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12105 Taft St
Pembroke Pines, FL 33026-1957
Phone: (754) 232-1114
Fax: (954) 416-6283
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1740139690
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alain Alvarez Legra — Manager · (754) 232-1114
NPI enumeratedJanuary 23, 2026
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026
Mailing address12105 Taft St, Pembroke Pines, FL 33026-1957

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