Active NPIIndividual provider

Edwin Bonilla Gonzalez, MD

General Practice in Aguas Buenas, Puerto Rico

NPI Number1407854649
Practice location
39 Calle Munoz Rivera, Calle Munoz Rivera 39, Aguas Buenas, PR 00703-3233
Fax
787-732-7424
Last updated
January 12, 2016

Edwin Bonilla Gonzalez is a General Practice based in Aguas Buenas, PR. Edwin Bonilla Gonzalez practices in Aguas Buenas, PR and has the professional credentials of MD. The NPI Number for Edwin Bonilla Gonzalez is 1407854649 and holds a License No. 11614 (PR). The current practice location address for Edwin Bonilla Gonzalez is 39 Calle Munoz Rivera, Calle Munoz Rivera 39, Aguas Buenas, PR 00703-3233 and can be reached out via phone at 787-732-7424 and via fax at 787-732-7424.

Provider Profile Details

NPI Number
1407854649
Provider Name
Edwin Bonilla Gonzalez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
39 Calle Munoz Rivera, Calle Munoz Rivera 39, Aguas Buenas, PR 00703-3233
Phone Number
787-732-7424
Fax Number
787-732-7424
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
No
Provider Enumeration Date
July 12, 2005
Last Update Date
January 12, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 Calle Munoz Rivera
Calle Munoz Rivera 39
Aguas Buenas, PR 00703-3233
Zip
00703-3233
Phone Number
787-732-7424
Fax Number
787-732-7424
Aguas Buenas, PR 00703Get directions →

Provider Business Mailing Address Details

Address
Po Box 4952
Po Box 4952
Caguas, PR 00726-4952
City
Caguas
State
PR
Zip
00726-4952
Phone Number
787-732-7424

License Information

License Number
11614
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.

Other General Practice providers near Aguas Buenas, PR

View all General Practice providers in Aguas Buenas →

Frequently Asked Questions

What is the NPI number of Edwin Bonilla Gonzalez, MD?

The NPI number of Edwin Bonilla Gonzalez, MD is 1407854649. It was assigned on July 12, 2005 and is currently active in the NPPES registry.

What is the specialty of Edwin Bonilla Gonzalez, MD?

Edwin Bonilla Gonzalez, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 11614.

Where does Edwin Bonilla Gonzalez, MD practice?

The practice location is 39 Calle Munoz Rivera, Calle Munoz Rivera 39, Aguas Buenas, PR 00703-3233. The office can be reached at 787-732-7424 (phone) or 787-732-7424 (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 1407854649 directly on the NPPES registry website.

Browse related providers