Individual provider Active NPI

Carlos Manuel Bonet Vazquez

  • General Practice Physician
  • Barranquitas, PR
National Provider Identifier
1154075695
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22903 Issued in PR
Practice address
156 Calle Barcelo # 53
Barranquitas, PR 00794-1621
Phone
(787) 857-2688
NPI assigned
Feb 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 22903 PR
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 22903 PR Primary

Addresses

Primary practice location

156 Calle Barcelo # 53
Barranquitas, PR 00794-1621

Mailing address

PO Box 421
Comerio, PR 00782-0421
Phone (787) 981-8857

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
I20231108004133 PR Practitioner - General Practice 2163879321 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22903PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Med PSC CurrentSince Sep 25, 2023 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Mar 21, 2024 Accepting new patients
Salud Integral En la Montana, Inc General Practice CurrentSince Mar 21, 2024 Accepting new patients
Salud Integral En la Montana, Inc General Practice Current Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Mar 21, 2024 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Mar 21, 2024 Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

1519 Ave Ponce de Leon
Ste 302
San Juan, PR 00909
Phone (787) 725-8101

Organizations & group practices 6

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": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1154075695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "007820421",
            "telephone_number": "787-981-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 CALLE BARCELO # 53",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007941621",
            "telephone_number": "787-857-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONET VAZQUEZ",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-03",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PR",
            "license": "22903",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barranquitas, PR

Sources for this page

Verify at the official NPI Registry.