Pedro Ariel Bonilla, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23576 Issued in PR

Practice address

8 Calle Javilla
San German, PR 00683-4102

Phone

(787) 414-8914

NPI assigned

Dec 5, 2023

Last updated

Dec 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Specialty

General Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med Centro IncGroup PAC ID 5890692131, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1295727147

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1669097374
  NPD
• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1730564121
  NPD

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1093582637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006600266",
            "telephone_number": "787-414-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CALLE JAVILLA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834102",
            "telephone_number": "787-414-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "PEDRO",
        "middle_name": "ARIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liza Milagros Biaggi, LND
• Bio-Medical Applications of San German, Inc. (Bma San German)
• Biostim Blood Services
• Biotech Medcorp
• Bonilla Gastroenterology LLC
• Arlene A Cabot-Carlo, BA
• Julio Cesar Campis Candelario, MD
• Angelica Anais Campos Cordero
• Maria M Cancel
• Sebastian Andres Candelaria Ruiz, MS

• General Practice Physician in San German, PR
• Providers in San German, 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 Dec 5, 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.

Verify at the official NPI Registry.