Elienid Bonilla-Ortiz

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

100 Grand Paseo Bouvelard
Suite 112
San Juan, PR 00926

Phone

(787) 685-4413

NPI assigned

Oct 21, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1669293759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LOS CHOFERES CALLE JUAN D.LEFEBRE",
            "address_2": "APARTMENT B18-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-685-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND PASEO BOUVELARD",
            "address_2": "SUITE 112",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-685-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA-ORTIZ",
        "first_name": "ELIENID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anarys Bonilla Alvarado
• Luis Angel Bonilla Gonzalez, M.D.
• Stephanie Marie Bonilla Padilla
• Alba Nelly Bonilla Palacio, RN, MSN
• Juan Carlos Bonilla Robles, MD
• Fernando J Bonilla-Valentin, MD
• Rosa Bonilla, M.D.
• Phillip Lee Bonneaux, MD
• Maritza Bonnet, RD,LND
• Maria E Bonnin-Suris, M.D.

• Student in an Organized Health Care Education/Training Program in San Juan, PR
• Providers in San Juan, PR by specialty
• Student in an Organized Health Care Education/Training Program in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.