Individual provider Active NPI

Fernanda Nora Margarita Bonilla Gierbolini, DC

  • Chiropractor
  • Caguas, PR
National Provider Identifier
1346961489
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
850 Issued in PR
Practice address
Calle Santa Maria Num J3
Local 2 Urb Res Bairoa
Caguas, PR 00725
Phone
(787) 999-9999
NPI assigned
Sep 7, 2022
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 850 PR Primary

Addresses

Primary practice location

Calle Santa Maria Num J3
Local 2 Urb Res Bairoa
Caguas, PR 00725

Mailing address

PO Box 370239
Cayey, PR 00737-0239
Phone (787) 263-8515

Other practice location 1

Urb Los Laureles 17 Calle Los Robles
Cayey, PR 00736
Phone (787) 263-8515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230429000179 PR Practitioner - Chiropractic 7214392562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 Villas de San Jose
Cayey, PR 00736-9300

Calle Santa Maria Local
2 Urb Bairoa
Caguas, PR 00736-9300
Phone (787) 424-8441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
850PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Activa Quiropractica LLC Chiropractor CurrentSince Mar 6, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1346961489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370239",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007370239",
            "telephone_number": "787-263-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTA MARIA NUM J3",
            "address_2": "LOCAL 2 URB RES BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-999-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urb Los Laureles 17 Calle Los Robles",
            "address_purpose": "LOCATION",
            "city": "Cayey",
            "state": "PR",
            "postal_code": "00736",
            "country_code": "US",
            "telephone_number": "787-263-8515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONILLA GIERBOLINI",
        "first_name": "FERNANDA",
        "middle_name": "NORA MARGARITA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.