Active NPIIndividual providerSole proprietor

Dr. Sebastian A Bonilla Benitez, MD

General Practice in Fajardo, Puerto Rico

NPI Number1235803586
Practice location
404 Ave General Valero, Fajardo, PR 00738-3998
Fax
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Last updated
July 7, 2023

Sebastian Alexis Bonilla Benitez is a General Practice based in Fajardo, PR. Sebastian Alexis Bonilla Benitez practices in Fajardo, PR and has the professional credentials of MD. The NPI Number for Sebastian Alexis Bonilla Benitez is 1235803586 and holds a License No. 23372 (PR). The current practice location address for Sebastian Alexis Bonilla Benitez is 404 Ave General Valero, Fajardo, PR 00738-3998 and can be reached out via phone at 787-655-0505.

Provider Profile Details

NPI Number
1235803586
Provider Name
Sebastian Alexis Bonilla Benitez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
404 Ave General Valero, Fajardo, PR 00738-3998
Phone Number
787-655-0505
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 2, 2021
Last Update Date
July 7, 2023
Certification Date
July 7, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
404 Ave General Valero
Fajardo, PR 00738-3998
Zip
00738-3998
Phone Number
787-655-0505
Fajardo, PR 00738Get directions →

Provider Business Mailing Address Details

Address
Urb Veve Calzada Calle 3A O28
Fajardo, PR 00738
City
Fajardo
State
PR
Zip
00738
Phone Number
787-602-2923

License Information

License Number
23372
License State
PR
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Sebastian A Bonilla Benitez, MD?

The NPI number of Dr. Sebastian A Bonilla Benitez, MD is 1235803586. It was assigned on August 2, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Sebastian A Bonilla Benitez, MD?

Dr. Sebastian A Bonilla Benitez, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 23372.

Where does Dr. Sebastian A Bonilla Benitez, MD practice?

The practice location is 404 Ave General Valero, Fajardo, PR 00738-3998. The office can be reached at 787-655-0505 (phone).

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 1235803586 directly on the NPPES registry website.

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