Individual provider Active NPI

Maria M Sanchez-Bonilla, MD

  • Psychiatry Physician
  • Santurce, PR
National Provider Identifier
1043254642
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11703 Issued in PR
Practice address
150 Ave de Diego
Suite 705
Santurce, PR 00907-2300
Phone
(787) 724-8667
Fax
(787) 722-1950
NPI assigned
Jun 15, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11703 PR Primary
Geriatric Psychiatry Physician 2084P0805X 11703 PR

Addresses

Primary practice location

150 Ave de Diego
Suite 705
Santurce, PR 00907-2300

Mailing address

150 De Diego Ave, San Juan Health Centre
Suite 705
Santurce, PR 00907-2318
Phone (787) 724-8667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11703PRMDGeriatric Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043254642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DE DIEGO AVE, SAN JUAN HEALTH CENTRE",
            "address_2": "SUITE 705",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009072318",
            "telephone_number": "787-724-8667",
            "fax_number": "787-722-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AVE DE DIEGO",
            "address_2": "SUITE 705",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009072300",
            "telephone_number": "787-724-8667",
            "fax_number": "787-722-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ-BONILLA",
        "first_name": "MARIA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "11703",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PR",
            "license": "11703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.