Active NPI
Elaine J Bond, MD
- General Practice Physician
- Trujillo Alto, PR
National Provider Identifier
1487850939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15653
- Practice address
- A13 Calle 1 Jardines
Trujillo Alto, PR 00976 - Phone
- (787) 755-9588
- NPI assigned
- Jun 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15653 | PR | Primary |
Addresses
Primary practice location
A13 Calle 1 Jardines
Trujillo Alto, PR 00976
Mailing address
A13 Calle 1 Jardines
Trujillo Alto, PR 00976
Phone (787) 755-9588
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100693 | Other | PR | CRUZ AZUL |
| 22991BO | Other | PR | TRIPLE S |
| 9760094 | Other | PR | PREFERRED HEALTH HUMANA |
| 2011286 | Medicaid | PR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487850939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A13 CALLE 1 JARDINES",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-755-9588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A13 CALLE 1 JARDINES",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-755-9588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "ELAINE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15653",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "100693",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "22991BO",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH HUMANA",
"identifier": "9760094",
"state": "PR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2011286",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.