Iris Marta Bonilla, RN

Primary specialty

Infection Control Registered NurseTaxonomy code 163WI0600X

License

017796 Issued in PR

Practice address

Carr 2 KM 126.4
Bo Caimital Bajo
Aguadilla, PR 00603

Phone

(787) 882-3230

NPI assigned

May 15, 2019

Last updated

May 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1124684006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 6230",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "006779007",
            "telephone_number": "787-392-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 126.4",
            "address_2": "BO CAIMITAL BAJO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-882-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "IRIS",
        "middle_name": "MARTA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "PR",
            "license": "017796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017796",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "017796",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ibonilla@fondopr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Carr. #2 Km. 126.4 Bo Caimital Bajo",
            "city": "Aguadilla",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Body Align Structural Massage Health for Wellness CSP
• Aimee Jeannette Boglio
• Joanne Louise Bohn, DC
• Carla Marie Bonaparte, D.D.S.
• Jenelle Bonilla Perez, MD
• Ricardo E Bonilla Sr.
• Borinquen Diagnostics Inc (Lab Clinico Bacteriologico Borinquen)
• Borinquen Psychology Center
• Leonardo Antonio Bosques Bosques, MD
• Glenda L. Bravo Otero, PSY.D

• Infection Control Registered Nurse in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Infection Control Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.