Individual provider Active NPI

Maria E Bonnin-Suris, M.D.

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1093995086
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
16940 Issued in PR
Practice address
200 Ave Winston Churchill Ste 406
San Juan, PR 00926-6653
Phone
(787) 753-4198
Fax
(787) 766-2665
NPI assigned
Nov 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 16940 PR Primary

Addresses

Primary practice location

200 Ave Winston Churchill Ste 406
San Juan, PR 00926-6653

Mailing address

200 Ave Winston Churchill Ste 406
San Juan, PR 00926-6653
Phone (787) 753-4198

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080929000037 PR Practitioner - Obstetrics/Gynecology 6901973239 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University Central del Caribe Escuela de Medicina, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Winston Churchill Ave
Suite 303
San Juan, PR 00926-6653

Winston Churchill
200 Suite 303
San Juan, PR 00926-6653
Phone (787) 753-4198

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PMC OBGYN LLC Obstetrics & Gynecology PastSince Aug 7, 2022 Accepting new patients
CRM Health Providers,LLS Past Accepting new patients
Senorial OBGYN Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1093995086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVE WINSTON CHURCHILL STE 406",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266653",
            "telephone_number": "787-753-4198",
            "fax_number": "787-766-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE WINSTON CHURCHILL STE 406",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266653",
            "telephone_number": "787-753-4198",
            "fax_number": "787-766-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNIN-SURIS",
        "first_name": "MARIA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "16940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.