Jorge L Bonilla MD PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18209 Issued in PR

Legal business name

JORGE L BONILLA MD PSC

Doing business as

Jorge L Bonilla Mendez

Practice address

167 Calle Ramos Antonini E
Mayaguez, PR 00680-5039

Phone

(787) 464-4559

NPI assigned

Jan 24, 2013

Last updated

Jan 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jorge Bonilla, M.DNPI 1376834176

Title

President

Phone

(787) 464-4559

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JORGE L BONILLA MENDEZ Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge Bonilla, M.D

  • Internal Medicine Physician
  • Lindenhurst, NY
  • NPI 1376834176
  NPD (past) Authorized official

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1568700664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4223",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006814223",
            "telephone_number": "787-464-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 CALLE RAMOS ANTONINI E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805039",
            "telephone_number": "787-464-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE L BONILLA MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-464-4559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "18209",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JORGE L BONILLA MENDEZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gemarilys Jimenez
• Jacqueline Jimenez, M.S
• JMG Surgical Services PSC
• JMMR Enterprise Inc (Leguisamo Pharmacy & More)
• Marla Esther Jordan, MD
• Jorge L Colon (Super Farmacia Familiar)
• Jose a. Cancio MD, C.S.P.
• Jose E Montalvo (Procare Emergency Medical Transport)
• Jose Hernandez Vera-Medicina General,CSP
• Juan Felipe Bado Perez DMD P.S.C

• Internal Medicine Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.