- Practice location
- 1114 Liberty Ave, Brooklyn, NY 11208-2922
- Phone
- 718-765-6058
- Fax
- 347-808-4895
- Last updated
- July 29, 2026
Juan Samuel Ignacio Bonilla-Perez is a Family Medicine based in Brooklyn, NY. Juan Samuel Ignacio Bonilla-Perez practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Juan Samuel Ignacio Bonilla-Perez is 1205039757 and holds a License No. 16664 (PR). The current practice location address for Juan Samuel Ignacio Bonilla-Perez is 1114 Liberty Ave, Brooklyn, NY 11208-2922 and can be reached out via phone at 718-765-6058 and via fax at 347-808-4895.
Provider Profile Details
- NPI Number
- 1205039757
- Provider Name
- Juan Samuel Ignacio Bonilla-Perez
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1114 Liberty Ave, Brooklyn, NY 11208-2922
- Phone Number
- 718-765-6058
- Fax Number
- 347-808-4895
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 11, 2007
- Last Update Date
- July 29, 2026
- Certification Date
- July 29, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1114 Liberty Ave
Brooklyn, NY 11208-2922 - City
- Brooklyn
- State
- New York
- Zip
- 11208-2922
- Phone Number
- 718-765-6058
- Fax Number
- 347-808-4895
Provider Business Mailing Address Details
- Address
- Po Box 746087
Atlanta, GA 30374-6087 - City
- Atlanta
- State
- GA
- Zip
- 30374-6087
- Phone Number
- 833-804-1695
License Information
- License Number (1)
- 16664
- License State (1)
- PR
- Taxonomy (1)
- Family Medicine, Geriatric Medicine · 207QG0300X
- License Number (2)
- MD048978
- License State (2)
- DC
- Taxonomy (2)
- Family Medicine, Geriatric Medicine · 207QG0300X
- License Number (3)
- 292251
- License State (3)
- NY
- Taxonomy (3)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Juan Samuel I Bonilla-Perez, MD?
The NPI number of Juan Samuel I Bonilla-Perez, MD is 1205039757. It was assigned on June 11, 2007 and is currently active in the NPPES registry.
What is the specialty of Juan Samuel I Bonilla-Perez, MD?
Juan Samuel I Bonilla-Perez, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in PR under license number 16664.
Where does Juan Samuel I Bonilla-Perez, MD practice?
The practice location is 1114 Liberty Ave, Brooklyn, NY 11208-2922. The office can be reached at 718-765-6058 (phone) or 347-808-4895 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205039757 directly on the NPPES registry website.