Individual provider Active NPI

Vivian Raquel Bonilla- Felix, MD

  • Psychiatry Physician
  • Rio Piedras, PR
National Provider Identifier
1205846979
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
7989 Issued in PR
Practice address
Cond Darlington 1110 Munoz Rivera 1007
Rio Piedras, PR 00925
Phone
(787) 764-1506
Fax
(787) 535-1031
NPI assigned
Aug 8, 2006
Last updated
Apr 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 7989 PR Primary

Addresses

Primary practice location

Cond Darlington 1110 Munoz Rivera 1007
Rio Piedras, PR 00925

Mailing address

Condominio Darlington 1110 Munoz Rivera 1007
Rio Piedras, PR 00925
Phone (787) 263-8184

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
I20120718000823 PR Practitioner - Psychiatry 9234395211 Practice locations: Cayey, PR; Rio Piedras, PR; Aibonito, PR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University Central del Caribe Escuela de Medicina, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1007 Ave Munoz Rivera
San Juan, PR 00925

Bo Rincon Sector Lomas
Carr 14 KM 72.2
Cayey, PR 00737
Phone (787) 263-8184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7989PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Ginecologia Hospital Municipal SJ Past Accepting new patients
Grupo Medicina Interna HMSJ Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1205846979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO DARLINGTON 1110 MUNOZ RIVERA 1007",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-263-8184",
            "fax_number": "787-535-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND DARLINGTON 1110 MUNOZ RIVERA 1007",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-764-1506",
            "fax_number": "787-535-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA- FELIX",
        "first_name": "VIVIAN",
        "middle_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "7989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.