Phillip Lee Bonneaux, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

7366 Issued in PR

Practice address

112 Calle Arzuaga
Ste 903
San Juan, PR 00925-3321

Phone

(787) 767-4010

Fax

(787) 767-4010

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal MedicineAlso: Rheumatology

Education

University Central del Caribe Escuela de Medicina, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1629066006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21426",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009281426",
            "telephone_number": "787-767-4010",
            "fax_number": "787-767-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CALLE ARZUAGA",
            "address_2": "STE 903",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009253321",
            "telephone_number": "787-767-4010",
            "fax_number": "787-767-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNEAUX",
        "first_name": "PHILLIP",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "7366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alba Nelly Bonilla Palacio, RN, MSN
• Juan Carlos Bonilla Robles, MD
• Elienid Bonilla-Ortiz
• Fernando J Bonilla-Valentin, MD
• Rosa Bonilla, M.D.
• Maritza Bonnet, RD,LND
• Maria E Bonnin-Suris, M.D.
• Kassandra Marie Bordado May, LPRC
• Roberto P. Bordewyk
• William Borges Cancel, M.D.

• Rheumatology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Rheumatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.