Active NPI
Maria Belen Rivera-Bonilla, MD
- Internal Medicine Physician
- Winter Haven, FL
National Provider Identifier
1215248364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME122431
- Practice address
- 199 Avenue B NW
Winter Haven, FL 33881-4546 - Phone
- (863) 293-1191
- NPI assigned
- Jun 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME122431 | FL | Primary |
Addresses
Primary practice location
199 Avenue B NW
Winter Haven, FL 33881-4546
Mailing address
500 E Central Ave
Winter Haven, FL 33880-3094
Phone (863) 293-1191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0156665700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bond Clinic PA | Internal Medicine | Current | Accepting new patients |
| Bond Clinic PA | Internal Medicine | Current | Accepting new patients |
| Bond Urgent Care LLC | Past | Accepting new patients |
Locations
199 Avenue B NW
Winter Haven, FL 33881
Phone (863) 284-1659
500 E Central Ave
Winter Haven, FL 33880
Phone 86329311913286
Interoperability endpoints
- maria.riverabonnilla.p1@direct.bondclinicpa.nextgenshare.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Winter Haven, FL
- NPI 1881639193
-
- Internal Medicine Physician
- Winter Haven, FL
- NPI 1992565766
-
- Urgent Care Clinic/Center
- Winter Haven, FL
- NPI 1235641739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1215248364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E CENTRAL AVE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803094",
"telephone_number": "863-293-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 AVENUE B NW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814546",
"telephone_number": "863-293-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA-BONILLA",
"first_name": "MARIA",
"middle_name": "BELEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME122431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0156665700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.