Active NPIIndividual providerSole proprietor

Dr. Jose A Bonilla

General Practice in Mayaguez, Puerto Rico

NPI Number1336854314
Practice location
327 Calle Broadway, Mayaguez, PR 00680-4658
Fax
—
Last updated
April 2, 2024

Jose Angel Bonilla is a General Practice based in Mayaguez, PR. Jose Angel Bonilla practices in Mayaguez, PR. The NPI Number for Jose Angel Bonilla is 1336854314 and holds a License No. 23655 (PR). The current practice location address for Jose Angel Bonilla is 327 Calle Broadway, Mayaguez, PR 00680-4658 and can be reached out via phone at 787-629-9150.

Provider Profile Details

NPI Number
1336854314
Provider Name
Jose Angel Bonilla
Provider Entity Type
Individual
Gender
Male
Address
327 Calle Broadway, Mayaguez, PR 00680-4658
Phone Number
787-629-9150
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 13, 2023
Last Update Date
April 2, 2024
Certification Date
April 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
327 Calle Broadway
Mayaguez, PR 00680-4658
Zip
00680-4658
Phone Number
787-629-9150
Mayaguez, PR 00680Get directions →

Provider Business Mailing Address Details

Address
Po Box 609
Aguada, PR 00602-0609
City
Aguada
State
PR
Zip
00602-0609
Phone Number
787-629-9150

License Information

License State (1)
PR
Taxonomy (1)
Public Health or Welfare · 251K00000X
License Number (2)
23655
License State (2)
PR
Taxonomy (2)
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. Jose A Bonilla?

The NPI number of Dr. Jose A Bonilla is 1336854314. It was assigned on January 13, 2023 and is currently active in the NPPES registry.

What is the specialty of Dr. Jose A Bonilla?

Dr. Jose A Bonilla is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 23655.

Where does Dr. Jose A Bonilla practice?

The practice location is 327 Calle Broadway, Mayaguez, PR 00680-4658. The office can be reached at 787-629-9150 (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 1336854314 directly on the NPPES registry website.

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