Active NPI
Alba Nelly Bonilla Palacio, RN, MSN
- Family Nurse Practitioner
- San Juan, PR
National Provider Identifier
1316645104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5922
- Practice address
- 1600 Av. de la Constitucion
San Juan, PR 00912 - Phone
- (787) 641-0774
- NPI assigned
- Feb 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 3810-E | PR | |
| Family Nurse Practitioner | 363LF0000X | 5922 | PR | Primary |
| Registered Nurse | 163W00000X | 33046 | PR |
Addresses
Primary practice location
1600 Av. de la Constitucion
San Juan, PR 00912
Mailing address
Urbanizacion Villa Linares Calle 9 G 24
Vega Alta, PR 00692
Phone (787) 449-4751
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260226004009 | PR | Practitioner - Nurse Practitioner | 1052892007 | Practice locations: Juncos, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
49 Calle Munoz Rivera
Juncos, PR 00777-3112
Phone (787) 449-4751
G24 Calle
Suite 9
Vega Alta, PR 00692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33046 | PR | MD | Registered Nurse |
| 3810-E | PR | MD | Psychiatric/Mental Health Registered Nurse |
| 5922 | PR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1316645104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URBANIZACION VILLA LINARES CALLE 9 G 24",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-449-4751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 AV. DE LA CONSTITUCION",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00912",
"telephone_number": "787-641-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONILLA PALACIO",
"first_name": "ALBA",
"middle_name": "NELLY",
"credential": "RN, MSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-21",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "PR",
"license": "3810-E",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PR",
"license": "5922",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "33046",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.