Active NPI
Deborah I Bonilla, RPH
- Pharmacist
- Ponce, PR
National Provider Identifier
1295943686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4415
- Practice address
- 2188 Ave Eduardo Ruberte
105
Ponce, PR 00716-0601 - Phone
- (787) 844-1084
- NPI assigned
- May 18, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4415 | PR | Primary |
Addresses
Primary practice location
2188 Ave Eduardo Ruberte
105
Ponce, PR 00716-0601
Mailing address
Est. del Carmen 4551 Tejerina St.
Ponce, PR 00716
Phone (787) 608-0963
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 Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4415 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295943686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EST. DEL CARMEN 4551 TEJERINA ST.",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-608-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2188 AVE EDUARDO RUBERTE",
"address_2": "105",
"city": "PONCE",
"state": "PR",
"postal_code": "007160601",
"telephone_number": "787-844-1084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONILLA",
"first_name": "DEBORAH",
"middle_name": "I",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.