Bonilla Gastroenterology LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

BONILLA GASTROENTEROLOGY LLC

Practice address

187 Ave Universidad Interamericana, Edificio Rali
San German, PR 00683-0068

Phone

(787) 215-6410

NPI assigned

Jan 18, 2023

Last updated

Jan 18, 2023By 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

Fernando Bonilla Valentin, MDNPI 1780046094

Title

Presidente

Phone

(787) 215-6410

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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.

• Fernando J Bonilla-Valentin, MD

  • Gastroenterology Physician
  • San Juan, PR
  • NPI 1780046094

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1689389223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006231387",
            "telephone_number": "787-215-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 AVE UNIVERSIDAD INTERAMERICANA, EDIFICIO RALI",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830068",
            "telephone_number": "787-215-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONILLA GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "BONILLA VALENTIN",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-215-6410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bettos Ambulance Services, Inc.
• Liza Milagros Biaggi, LND
• Bio-Medical Applications of San German, Inc. (Bma San German)
• Biostim Blood Services
• Biotech Medcorp
• Pedro Ariel Bonilla, MD
• Arlene A Cabot-Carlo, BA
• Julio Cesar Campis Candelario, MD
• Angelica Anais Campos Cordero
• Maria M Cancel

• Gastroenterology Physician in San German, PR
• Providers in San German, PR by specialty
• Gastroenterology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.