Individual provider Active NPI

Luis Sanchez Bonilla, MD

  • Internal Medicine Physician
  • Aguadilla, PR
National Provider Identifier
1720045172
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5633 Issued in PR
Practice address
55 Ave Severiano Cuevas
Aguadilla, PR 00603-5741
Phone
(787) 891-0288
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5633 PR Primary

Addresses

Primary practice location

55 Ave Severiano Cuevas
Aguadilla, PR 00603-5741

Mailing address

PO Box 3351
Aguadilla, PR 00605-3351
Phone (787) 891-0288

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081114000051 PR Practitioner - Internal Medicine 6901966464 Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 Ave Severiano Cuevas
Aguadilla, PR 00603-5741
Phone (787) 891-0288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5633PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1720045172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3351",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006053351",
            "telephone_number": "787-891-0288",
            "fax_number": "787-891-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 AVE SEVERIANO CUEVAS",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035741",
            "telephone_number": "787-891-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ BONILLA",
        "first_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "5633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.