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

Individual provider Physician Assistant · NPI 1932713047

Pedro G Bolanos Sr. is a Physician Assistant in Weston, Florida. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2020
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Practice location Address checks out

460 Alexandra Cir
Weston, FL 33326-3308
Phone: (201) 747-3830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 664-P.A. (PR)

Record details

NPI number1932713047
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 4, 2020
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020
Mailing address460 Alexandra Cir, Weston, FL 33326-3308

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