Organization Active NPI

Jose V. Bonilla and Associates

  • Specialist
  • San Antonio, TX
National Provider Identifier
1063506871
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D3156 Issued in TX
Legal business name
JOSE V. BONILLA AND ASSOCIATES
Practice address
343 W Houston St
Suite 105
San Antonio, TX 78205-2107
Phone
(210) 222-0289
Fax
(210) 222-9825
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jose Vicente Bonilla, M.D.
Title
Owner
Phone
(210) 222-0289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D3156 TX Primary

Addresses

Primary practice location

343 W Houston St
Suite 105
San Antonio, TX 78205-2107

Mailing address

343 W Houston St
Suite 105
San Antonio, TX 78205-2107
Phone (210) 222-0289

National Provider Directory

National Provider Directory

Locations

343 W Houston St
Ste 105
San Antonio, TX 78205
Phone (210) 222-0289

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063506871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "SUITE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052107",
            "telephone_number": "210-222-0289",
            "fax_number": "210-222-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "SUITE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052107",
            "telephone_number": "210-222-0289",
            "fax_number": "210-222-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE V. BONILLA AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "VICENTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-222-0289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "D3156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.