Millenium Medical Care Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11614 Issued in PR

Legal business name

MILLENIUM MEDICAL CARE INC

Practice address

39 Calle Munoz Rivera
Aguas Buenas
Aguas Buenas, PR 00703-3233

Phone

(787) 732-7424

Fax

(787) 757-6306

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Bonilla, M.D.

Title

Owner

Phone

(787) 732-7424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1710197686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CALLE MUNOZ RIVERA",
            "address_2": "AGUAS BUENAS",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007033233",
            "telephone_number": "787-732-7424",
            "fax_number": "787-757-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CALLE MUNOZ RIVERA",
            "address_2": "AGUAS BUENAS",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007033233",
            "telephone_number": "787-732-7424",
            "fax_number": "787-757-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIUM MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-732-7424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "11614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Aguas Buenas, PR
• Providers in Aguas Buenas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.