Individual provider Active NPI

Michael F. Soler-Bonilla, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1477536670
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13153 Issued in PR
Practice address
Calle Santa Agueda 1700
Urb San Gerardo
San Juan, PR 00926
Phone
(787) 754-1059
Fax
(787) 754-1059
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13153 PR Primary

Addresses

Primary practice location

Calle Santa Agueda 1700
Urb San Gerardo
San Juan, PR 00926

Mailing address

1700 Calle Santa Agueda
Urb San Gerardo
San Juan, PR 00926-4312
Phone (787) 754-1059

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908001322 PR Practitioner - General Practice 3476529611 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
San Juan Bautista School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1700 Calle Santa Agueda
San Juan, PR 00926-4312
Phone (787) 754-1059

1700 Santa Agueda
San Gerardo
San Juan, PR 00926-4312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13153PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hutima Past Accepting new patients
Orthobone Surgical, Inc. Past Accepting new patients
Grupo Medico Familiar General Practice Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1477536670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CALLE SANTA AGUEDA",
            "address_2": "URB SAN GERARDO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264312",
            "telephone_number": "787-754-1059",
            "fax_number": "787-754-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTA AGUEDA 1700",
            "address_2": "URB SAN GERARDO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-754-1059",
            "fax_number": "787-754-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLER-BONILLA",
        "first_name": "MICHAEL",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.