Individual provider Active NPI

Leonora Marie Ortiz Bonilla, MD

  • General Practice Physician
  • Cayey, PR
National Provider Identifier
1245764034
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23158 Issued in PR
Practice address
Road 14 Bo. Rincon Sector Lomas
Hospital Menonita Cayey
Cayey, PR 00737-2800
Phone
(787) 535-1001
NPI assigned
Apr 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23158 PR Primary

Addresses

Primary practice location

Road 14 Bo. Rincon Sector Lomas
Hospital Menonita Cayey
Cayey, PR 00737-2800

Mailing address

HC 1 Box 5799
Aibonito, PR 00705-9785
Phone (787) 240-8691

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
I20231113003355 PR Practitioner - General Practice 1254788243 Reassigns benefits to 1 organization
Practice locations: Cayey, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc. CurrentSince May 20, 2024 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients
Mennonite General Hospital, Inc CurrentSince May 20, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1245764034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 5799",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007059785",
            "telephone_number": "787-240-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 14 BO. RINCON SECTOR LOMAS",
            "address_2": "HOSPITAL MENONITA CAYEY",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007372800",
            "telephone_number": "787-535-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ BONILLA",
        "first_name": "LEONORA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.