Active NPI
Yanisse Leonor Bonilla, PA-C
- Medical Physician Assistant
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 9107385
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9107385 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hand Institute PL | Current | 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
- 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.
-
- Orthopaedic Hand Surgery Physician
- Miami, FL
- NPI 1801040480
-
- Orthopaedic Surgery Physician
- Miami, FL
- NPI 1922866144
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.