SGMJ Medical Care LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SGMJ MEDICAL CARE LLC

Practice address

39 Calle Munoz Rivera
Aguas Buenas, PR 00703-3233

Phone

(787) 732-7424

Fax

(787) 732-7424

NPI assigned

Jun 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Bonilla Gonzalez, MDNPI 1407854649

Title

General Practice

Phone

(787) 378-4017

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin Bonilla Gonzalez, MD

  • General Practice Physician
  • Aguas Buenas, PR
  • NPI 1407854649
  NPD Authorized official

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1568087922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4952",
            "address_2": "SIUTE 343",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264952",
            "telephone_number": "787-732-7424",
            "fax_number": "787-732-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CALLE MUNOZ RIVERA",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007033233",
            "telephone_number": "787-732-7424",
            "fax_number": "787-732-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGMJ MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "BONILLA GONZALEZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "GENERAL PRACTICE",
        "authorized_official_telephone_number": "787-378-4017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LINCEN",
            "identifier": "823035",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TURECORD",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "DEMOGRAFIC PATIENT INFORMATION",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PRESCRIPTION",
            "address_1": "CALLE TRINITARIA 16",
            "address_2": "EL PARAISO SANTA BARBARA",
            "city": "GURABO",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007782730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Judith Santana, RN
• Enna D Santiago, P.T.
• Emily Janet Santos I, B.A.
• Maria I Serrano, RN
• Servicios de Salud Primarios de Aguas Buenas, CSP
• Francisco Jose Sifre Cestero, O.D.
• Delmarie Solorzano Vazquez
• Moldavia O. Tavarez Gonzalez, MD
• Jose Alfredo Toro II, M.D.
• Sandra Valcarcel, D.M.D.

• General Practice Physician in Aguas Buenas, PR
• Providers in Aguas Buenas, 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 Jun 11, 2020; 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.