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

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

Practice location Address checks out

460 Alexandra Cir
Weston, FL 33326-3308
Phone: (201) 747-3830
Show map & directions

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

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