Organization Active NPI

Cambios En Vida Health Management LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Juan, PR
National Provider Identifier
1609727544
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CAMBIOS EN VIDA HEALTH MANAGEMENT LLC
Practice address
1050 Ave Las Palmas # L-4
Condominio Puerta de la Bahia
San Juan, PR 00907-5220
Phone
(939) 588-0326
NPI assigned
Feb 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Gabriel Enrique Bonilla, MDNPI 1245680479
Title
President
Phone
(787) 204-8378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1050 Ave Las Palmas # L-4
Condominio Puerta de la Bahia
San Juan, PR 00907-5220

Mailing address

1050 Ave Las Palmas # L-4
San Juan, PR 00907-5220
Phone (939) 588-0326

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1609727544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 AVE LAS PALMAS # L-4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009075220",
            "telephone_number": "939-588-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 AVE LAS PALMAS # L-4",
            "address_2": "CONDOMINIO PUERTA DE LA BAHIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009075220",
            "telephone_number": "939-588-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBIOS EN VIDA HEALTH MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-204-8378",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.