Bolivar Bueno in Worcester - Addiction (substance Use Disorder)
Bolivar Bueno - NPI 1861535031
Bolivar Bueno is a Addiction (substance Use Disorder) in Worcester, Massachusetts. Bolivar Bueno practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Bolivar Bueno is 1861535031. The last update date is 2007-07-09.
Bolivar Bueno's current location address is 585 Lincoln St, Worcester, Massachusetts. You can contact this provider via phone number 5088543320 and fax number 5087535051. The mailing address for Bolivar Bueno is 585 Lincoln St, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bolivar Bueno |
|---|---|
| Address | 585 Lincoln St, Worcester, Massachusetts |
| Phone Number | 5088543320 |
| Fax Number | 5087535051 |
| Sole Proprietor | N |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1861535031 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 585 Lincoln St |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16051906 |
| Phone Number | 5088543320 |
| Fax Number | 5087535051 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1308785 | MA | -- | |
| 1306421 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bolivar Bueno by the Centers for Medicare & Medicaid Services (CMS)?
The Bolivar Bueno has been assigned the NPI (National Provider Identifier) 1861535031. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Bolivar Bueno is located?
The Bolivar Bueno is situated at the following address: 585 Lincoln St, Worcester, MA, 16051906.
What is Bolivar Bueno's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bolivar Bueno's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861535031 to Bolivar Bueno?
The Bolivar Bueno received its 1861535031 assignment from the Centers for Medicare & Medicaid Services on 2007-02-15.
As of what date was the information pertaining to Bolivar Bueno, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bolivar Bueno, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.