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

Jose Bolanos, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114644481

Jose Bolanos, MD is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2 Richmond Sq Ste 110
Providence, RI 02906-5135
Phone: (401) 414-1400
Fax: (401) 414-1401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114644481
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 26, 2022
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022
Mailing address2 Richmond Sq Ste 110, Providence, RI 02906-5135

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