Organization Active NPI

Bonati Medica LLC

  • Multi-Specialty Clinic/Center
  • Ponce, PR
National Provider Identifier
1831051960
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BONATI MEDICA LLC
Practice address
2197 Blvd Luis a Ferre
Ste 103
Ponce, PR 00717-0605
Phone
(787) 987-8822
NPI assigned
Nov 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Ana Gabriela Serrano Lopez, MDNPI 1801562442
Title
Dr
Phone
(787) 341-4262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2197 Blvd Luis a Ferre
Ste 103
Ponce, PR 00717-0605

Mailing address

2197 Blvd Luis a Ferre
Ste 103
Ponce, PR 00717-0605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260323000782 PR Part B Supplier - Clinic/Group Practice 9032693668 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

2197 Blvd Luis a Ferre
Ste 103
Ponce, PR 00717
Phone (787) 844-3065

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1831051960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2197 BLVD LUIS A FERRE",
            "address_2": "STE 103",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2197 BLVD LUIS A FERRE",
            "address_2": "STE 103",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170605",
            "telephone_number": "787-987-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONATI MEDICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-26",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "SERRANO LOPEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "GABRIELA",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "787-341-4262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.