Dubiezel Medina Bonilla, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22470 Issued in PR

Practice address

Carr 345 Int KM 3.3 Sector Coloso Medina Bo Lavadero
Hormigueros, PR 00660-9714

Phone

(787) 237-1235

NPI assigned

Aug 25, 2021

Last updated

Aug 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Pavia Healthcare Centers IncGroup PAC ID 8022232271, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Manati Medical Center Dr Otero Lopez Hospital, Manati, PR, CCN 400114

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metro Pavia Healthcare Centers Inc

  • Radiology Clinic/Center
  • Arecibo, PR
  • NPI 1760723696
  Medicare reassignment Care Compare group NPD
• Medina S Prventive and Primary Care, LLC

  • Health Service Clinic/Center
  • Hatillo, PR
  • NPI 1003633991
  NPD Authorized official
• Metro Pavia Healthcare Center

  dba Metro Pavia Clinic Bella Vista

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1841694072
  NPD
• Metro Pavia Healthcare Centers Inc

  dba Metro Pavia Clinic Carolina XR

  • Mammography Clinic/Center
  • Carolina, PR
  • NPI 1669866398
  NPD

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

• Dorado Health Inc

  dba Manati Medical Center

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1376605170
  Care Compare affiliation

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1447927710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 6664",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006609714",
            "telephone_number": "787-237-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 345 INT KM 3.3 SECTOR COLOSO MEDINA BO LAVADERO",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006609714",
            "telephone_number": "787-237-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA BONILLA",
        "first_name": "DUBIEZEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "15458I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Billing House Inc
• Med Billing House Inc (Med Spa Infusion)
• Med Radiology Inc
• Medco Medical Equipment Inc
• Medicina Integral Y Preventiva Inc.
• Eleynie Milaine Medina Lopez
• Nishka Marie Medina Montalvo, DC
• Mediwest Specialty Distribution LLC
• Jose Gerardo Melendez-Negron, OD
• Juan E Mendez Servera, MD

• General Practice Physician in Hormigueros, PR
• Providers in Hormigueros, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.