Mr. Jorge Mario Bolivar
Nurse Practitioner Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
9333 Sw 152nd St
Palmetto Bay
, Florida 33157-1778
Mr. Jorge Mario Bolivar
Nurse Practitioner Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
9333 Sw 152nd St
Palmetto Bay
, Florida 33157-1778
(786) 234-4939
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Mr. Jorge Mario Bolivar
- 3324 Sw 147th Pl
- Miami, FL
- Zip : 33185-4157
- Phone : (786) 234-4939
Second Address
- Mr. Jorge Mario Bolivar
- 9333 Sw 152nd St
- Palmetto Bay, FL
- Zip : 33157-1778
- Phone : (305) 234-9180
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 11016043 | FL |
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 11016043 | FL |
| N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 11016043 | FL |
National Provider Identifier
| NPI | 1588327431 |
|---|---|
| Provider Name | Mr. Jorge Mario Bolivar |
| First Address | Miami, FL 33185-4157 |
| Second Address | Palmetto Bay, FL 33157-1778 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2021 |
| Last Update Date | 18/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.