Pablo Carlos Bonilla Soto, (MD)

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

024640 Issued in PR

Practice address

HC 58 Box 13745
Aguada, PR 00602-9899

Phone

(787) 689-1075

NPI assigned

Aug 1, 2024

Sex

Male

Sole proprietor

No

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

General Practice

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bella Vista Hospital Hospital, Mayaguez, PR, CCN 400014

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Quebradillas Medical Center PSC

  • Multi-Specialty Clinic/Center
  • Quebradillas, PR
  • NPI 1417109240

  PR

  Medicare reassignment NPD
• Bella Vista Hospital Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1083636179

  PR

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bella Vista Hospital Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1083636179

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1336979707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 58 BOX 13745",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029899",
            "telephone_number": "787-689-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 58 BOX 13745",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029899",
            "telephone_number": "787-689-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA SOTO",
        "first_name": "PABLO",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "(MD)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-01",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "024640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisnel Bermudez Valentin
• Carmen Lizzette Betancourt Muniz, P.T.
• Bethzaida Matias Laboratorio Clinico Tu Salud
• Wilmarys Bonilla Benique
• John Michael Bonilla Hernandez, DPT
• Bonilla Transport Services Inc.
• Mabel M. Bonilla, M.D.
• Eduardo Bosques Soto, M.D.
• Mayra Lynette Butter-Rodriguez
• C H Medival Equipment

• All providers in Aguada, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.