Individual provider Active NPI

Kaira Garcia Bonilla

  • Clinical Social Worker
  • San Juan, PR
National Provider Identifier
1699546283
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16745 Issued in PR
Practice address
San Juan VW
San Juan, PR 00924-2350
Phone
(787) 641-0774
NPI assigned
Jan 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16745 PR Primary

Addresses

Primary practice location

San Juan VW
San Juan, PR 00924-2350

Mailing address

PO Box 71474
San Juan, PR 00936-8574
Phone (787) 641-0774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111000228 PR Practitioner - Clinical Social Worker 6204325731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

C17 Calle Marginal
Bayamon, PR 00961

C17 Calle Marginal
Bayamon, PR 00961-6706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16745PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Foundation of Puerto Rico, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Community Health Foundation of Puerto Rico, Inc. CurrentSince Sep 1, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1699546283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71474",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368574",
            "telephone_number": "787-641-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JUAN VW",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009242350",
            "telephone_number": "787-641-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA BONILLA",
        "first_name": "KAIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "16745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.