Individual provider Active NPI

Yanisse Leonor Bonilla, PA-C

  • Medical Physician Assistant
  • Miami, FL
National Provider Identifier
1003242207
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 9107385 Issued in FL
Practice address
8940 N Kendall Dr Ste 101E
Miami, FL 33176-2166
Phone
(305) 667-8686
Fax
(305) 667-8680
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 9107385 FL Primary

Addresses

Primary practice location

8940 N Kendall Dr Ste 101E
Miami, FL 33176-2166

Mailing address

15935 SW 90TH Ave
Palmetto Bay, FL 33157-1923
Phone (786) 226-3539

Other practice location 1

11760 Bird Rd Ste 610
Miami, FL 33175-8105
Phone (305) 667-8686

Other practice location 2

8905 SW 87th Ave
Miami, FL 33176-2227
Phone (305) 667-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131204000114 FL Practitioner - Physician Assistant 4486880010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Hand Institute PLGroup PAC ID 2163567280, 13 clinicians

Practice addresses (Care Compare)

11760 Bird Rd
Suite 610
Miami, FL 33175-8105
Phone (305) 667-8686

6200 SW 73 St
South Miami, FL 33143-4679
Phone (786) 662-4000

8905 SW 87 Ave
Suite 100
Miami, FL 33176-2210
Phone (305) 667-8686

8905 SW 87 Ave
Suite 101
Miami, FL 33176-2227
Phone (305) 595-6280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9107385FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Hand Institute PL CurrentSince Oct 28, 2013 Accepting new patients

Locations

8905 SW 87th Ave
Ste 100
Miami, FL 33176
Phone (305) 661-3000

8940 SW 88th St
Ste 101E
Miami, FL 33176
Phone (305) 275-5677

11760 SW 40th St
Ste 610
Miami, FL 33175
Phone (305) 667-8686

Interoperability endpoints

  • Direct secure messaging: yanisse.bonilla.1@1884.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1003242207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15935 SW 90TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571923",
            "telephone_number": "786-226-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR STE 101E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762166",
            "telephone_number": "305-667-8686",
            "fax_number": "305-667-8680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11760 Bird Rd Ste 610",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331758105",
            "country_code": "US",
            "telephone_number": "305-667-8686",
            "fax_number": "305-667-8680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8905 SW 87th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762227",
            "country_code": "US",
            "telephone_number": "305-667-8686",
            "fax_number": "305-667-8680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "YANISSE",
        "middle_name": "LEONOR",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9107385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.