Vivian Pastrana Bonilla, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

15304 Issued in PR

Practice address

Mennonite Hospital Inc.(Cima)
Sargento Gerardo Santiago Street, Interior 14
Aibonito, PR 00705

Phone

(787) 735-6115

Fax

(787) 735-6190

NPI assigned

Nov 1, 2006

Last updated

Mar 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Psychiatry

Education

University Central del Caribe Escuela de Medicina, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1245317049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 AVE LUIS VIGOREAUX",
            "address_2": "PMB 466",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662715",
            "telephone_number": "787-688-7924",
            "fax_number": "787-781-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MENNONITE HOSPITAL INC.(CIMA)",
            "address_2": "SARGENTO GERARDO SANTIAGO STREET, INTERIOR 14",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-735-6115",
            "fax_number": "787-735-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTRANA BONILLA",
        "first_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "15304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Nicole Ortiz
• Felix J Otero
• Monserrate Pabon Lopez, M.D.
• Sixto A Pacheco, M.D.
• Elsie Lidia Pagan, RPH
• Pediatric & Emergency Medical Services P.S.C.
• Pediatric Pro & Medicine LLC
• Ivette Pena
• Julio A Perez Briones
• Lizzette D Perez Pabon, MSW

• Specialist in Aibonito, PR
• Providers in Aibonito, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.
• 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.