Individual provider Active NPI

Michelle Marie Barnes Bonilla, M.D

  • Specialist
  • Coral Gables, FL
National Provider Identifier
1386628303
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME87921 Issued in FL
Practice address
999 Ponce de Leon Blvd
Suite 930
Coral Gables, FL 33134-3000
Phone
(305) 442-0028
Fax
(305) 442-0126
NPI assigned
Dec 2, 2005
Last updated
Jul 30, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME87921 FL Primary

Addresses

Primary practice location

999 Ponce de Leon Blvd
Suite 930
Coral Gables, FL 33134-3000

Mailing address

999 Ponce de Leon Blvd
Suite 930
Coral Gables, FL 33134-3000
Phone (305) 442-0028

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME87921FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1386628303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 PONCE DE LEON BLVD",
            "address_2": "SUITE 930",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343000",
            "telephone_number": "305-442-0028",
            "fax_number": "305-442-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 PONCE DE LEON BLVD",
            "address_2": "SUITE 930",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343000",
            "telephone_number": "305-442-0028",
            "fax_number": "305-442-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES BONILLA",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME87921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.