Leonardo Antonio Bosques Bosques, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

24665 Issued in PR

Practice address

Hospital Buen Samaritano, Direccion Medica
Aguadilla, PR 00605

Phone

(787) 658-0012

Fax

(787) 819-0905

NPI assigned

Jan 31, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1023761079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 02 BOX 12047",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-877-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL BUEN SAMARITANO, DIRECCION MEDICA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-658-0012",
            "fax_number": "787-819-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSQUES BOSQUES",
        "first_name": "LEONARDO",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direccionmedica@hbspr.org",
            "affiliation": "N",
            "address_1": "Hospital Buen Samaritano, Direccion Medica",
            "city": "Aguadilla",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenelle Bonilla Perez, MD
• Iris Marta Bonilla, RN
• Ricardo E Bonilla Sr.
• Borinquen Diagnostics Inc
• Borinquen Psychology Center
• Glenda L. Bravo Otero, PSY.D
• BS Radiology and Women'S Center
• Buen Samaritano Anesthesiology Medical Billing Services
• Buen Samaritano Emergency Medical Billing Services
• Buen Samaritano Premium Healthcare Clinic

• General Practice Physician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.