Individual provider Active NPI

Dailis Y Traverso-Bonilla, DC

  • Chiropractor
  • Coamo, PR
National Provider Identifier
1194303057
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
842 Issued in PR
Practice address
111 Blvd Piel Canela
Coamo, PR 00769-3502
Phone
(787) 238-6030
NPI assigned
Mar 31, 2021
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 842 PR Primary

Addresses

Primary practice location

111 Blvd Piel Canela
Coamo, PR 00769-3502

Mailing address

100 Ave del Espiritu Santo
Caguas, PR 00725-3004
Phone (787) 414-8251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
842PRMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1194303057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AVE DEL ESPIRITU SANTO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253004",
            "telephone_number": "787-414-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BLVD PIEL CANELA",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007693502",
            "telephone_number": "787-238-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERSO-BONILLA",
        "first_name": "DAILIS",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.