DR. ROSELYN BONILLA M.D. NPI 1336110139

NPI Information

  • NPI: 1336110139
  • Provider Name: DR. ROSELYN BONILLA, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 230 PARK ST
    MIAMI SPRINGS, FL
    ZIP 33166
  • Phone: (305) 888-2607

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NPI Details

DR. Roselyn Bonilla, M.D. is an obstetrics gynecology in Miami Springs, FL with 30 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Roselyn Bonilla, M.D. NPI is 1336110139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduation Year:1995

The provider's business location address is:

230 PARK ST
MIAMI SPRINGS, FL
ZIP 33166-452
Phone: (305) 888-2607
Fax: (305) 888-5161

The NPI 1336110139 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 2/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyME91321FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OH1922MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
250090MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3HO9722MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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