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JUAN ALFREDO BONILLA M.D. NPI 1548260078


NPI Information

NPI: 1548260078
Provider Name: JUAN ALFREDO BONILLA, M.D.
Classification: Otolaryngology - 207YP0228X
Entity Type: Individual

Specialization: Pediatric Otolaryngology

PECOS Registration: Yes

Address:
16723 HUEBNER RD
SAN ANTONIO, TX
ZIP 78248
Phone: (210) 733-4368
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Juan Alfredo Bonilla, M.D. is a pediatric otolaryngology otolaryngology in San Antonio, TX. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. Juan Alfredo Bonilla, M.D. NPI is 1548260078. 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:

16723 HUEBNER RD
SAN ANTONIO, TX
ZIP 78248-342
Phone: (210) 733-4368
Fax: (210) 402-3417

The NPI 1548260078 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 7/27/2005 and was last updated on 5/31/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG4841TEXASNo
2207YP0228XOtolaryngologyPediatric OtolaryngologyG4841TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F0072234OTHERDPS
2095065103MEDICAIDTEXAS
3120180805MEDICAIDTEXAS
4BB1396200OTHERDEA
5120180801MEDICAIDTEXAS
6B74984MEDICARE UPIN
7G4841OTHERTEXASSTATE LIC

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.