EDWIN BONILLA GONZALEZ MD NPI 1407854649

NPI Information

NPI: 1407854649
Provider Name: EDWIN BONILLA GONZALEZ, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
39 CALLE MUNOZ RIVERA
CALLE MUNOZ RIVERA 39
AGUAS BUENAS, PR
ZIP 00703
Phone: (787) 732-7424
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Edwin Bonilla Gonzalez, MD is a general practice in Aguas Buenas, PR. Edwin Bonilla Gonzalez, MD NPI is 1407854649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

39 CALLE MUNOZ RIVERA
CALLE MUNOZ RIVERA 39
AGUAS BUENAS, PR
ZIP 00703-233
Phone: (787) 732-7424
Fax: (787) 732-7424

The NPI 1407854649 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 7/12/2005 and was last updated on 1/12/2016.

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
1	208D00000X	General Practice		11614	PUERTO RICO	Yes

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
1	F94455	MEDICARE UPIN
2	684792	MEDICARE ID-TYPE UNSPECIFIED	PUERTO RICO

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: 11/14/2023

NPI Synchronization or Removal

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