Alexis Hernandez Bonilla, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1449 Issued in FL

Practice address

13438 Fort King Rd
Dade City, FL 33525-5214

Phone

(352) 567-5266

Fax

(352) 567-3066

NPI assigned

Jun 28, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

General Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Advanced Internal Medicine Care, PAGroup PAC ID 2466504386, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (3 of 5)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Advanced Internal Medicine Care, PA

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1811130339

  FL, General Practice

  Medicare reassignment Care Compare group NPD
• Florida Medical Associates LLC

  • Primary Care Clinic/Center
  • Lady Lake, FL
  • NPI 1336153709

  FL

  Medicare reassignment Care Compare group NPD
• Primary Medical Care R Ayala MD PA

  • Multi-Specialty Clinic/Center
  • Dade City, FL
  • NPI 1790799526
  NPD

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1700518735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "727-322-3439",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13438 FORT KING RD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255214",
            "telephone_number": "352-567-5266",
            "fax_number": "352-567-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ BONILLA",
        "first_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1449",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthstat Wellness Pasco-Dade Dispensing
• Heartful Haven Companion Care LLC
• Joan E Heitzler, ARNP
• Ashley Hendrickson
• Heritage Park Operations LLC
• Tatiana Natalie Hernandez Cabrera, MD
• Dianelys Hernandez Martinez
• Yojannys Hernandez Maturell
• Francisco J Hernandez Mendez, MD
• Christine Star Hernandez

• All providers in Dade City, FL
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.