Luis A Bonilla, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

17529 Issued in PR

Practice address

Carr #2 KM 47.7
Doctor'S Center Hospital
Manati, PR 00674

Phone

(787) 363-2744

Fax

(787) 854-3440

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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 Surgery

Education

University of Puerto Rico School of Medicine, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors' Center Hospital, Inc Hospital, Manati, PR, CCN 400118
• Manati Medical Center Dr Otero Lopez Hospital, Manati, PR, CCN 400114

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lbonillagonzalez@1391.securemail.prognocis.com

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.

• Dorado Health Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1376605170
  NPD (past)
• J.W. Goveo P.S.C. Medical Services

  • Physical Medicine & Rehabilitation Physician
  • Manati, PR
  • NPI 1356595128
  NPD (past)
• Vascura Integrative Institute LLC

  • Vascular Surgery Physician
  • Manati, PR
  • NPI 1639041700
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Center Hospital Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1861494163
  Care Compare affiliation
• Dorado Health Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1376605170
  Care Compare affiliation

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1154301265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CARR 693",
            "address_2": "PMB 121",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464802",
            "telephone_number": "787-366-6445",
            "fax_number": "787-854-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 47.7",
            "address_2": "DOCTOR'S CENTER HOSPITAL",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-363-2744",
            "fax_number": "787-854-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD426722",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "17529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014293760003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raul Benitez, MD
• Felix Betancourt-Bojos, M.D.
• Beyond Care Doctor Group CSP
• Carlos Blanco, M.D.
• Blessed Surgical Services PSC
• Alexander Borrero-Arvelo, MD
• Wilfredo Javier Borroto Bechara
• Linette Bosques Vargas, FAAP
• Yanelka Bouza Jimenez
• Bruno Rodriguez, Inc

• Surgery Physician in Manati, PR
• Providers in Manati, PR by specialty
• Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.