Individual provider Active NPI

Ada N Bonilla, RN

  • Registered Nurse
  • Mayaguez, PR
National Provider Identifier
1275921504
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
18029 Issued in PR
Practice address
A29 Calle Hipolito Arroyo
Parcelas Castillo
Mayaguez, PR 00682-1308
Phone
(178) 767-3061
NPI assigned
Jan 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 18029 PR Primary
Ambulatory Care Registered Nurse 163WP2201X 18029 PR

Addresses

Primary practice location

A29 Calle Hipolito Arroyo
Parcelas Castillo
Mayaguez, PR 00682-1308

Mailing address

Hipolito Arroyo a 29 Parcelas Castillo
Parcelas Castillo
Mayaguez, PR 00682-1308
Phone (787) 673-0261

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
18029PRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1275921504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HIPOLITO ARROYO A 29 PARCELAS CASTILLO",
            "address_2": "PARCELAS CASTILLO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821308",
            "telephone_number": "787-673-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A29 CALLE HIPOLITO ARROYO",
            "address_2": "PARCELAS CASTILLO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821308",
            "telephone_number": "178-767-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "ADA",
        "middle_name": "N",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "18029",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "PR",
            "license": "18029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.