Juan Mejia-Bonilla

Primary specialty

DriverTaxonomy code 172A00000X

License

N874-116-786-919 Issued in MN

Practice address

313 Litchfield Ave SW
Willmar, MN 56201-3352

Phone

(320) 894-4265

NPI assigned

Apr 28, 2025

Last updated

Apr 28, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1073301453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 LITCHFIELD AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013352",
            "telephone_number": "320-894-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 LITCHFIELD AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013352",
            "telephone_number": "320-894-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA-BONILLA",
        "first_name": "JUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MN",
            "license": "N874-116-786-919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Driver in Willmar, MN
• Providers in Willmar, MN by specialty
• Driver in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.