Individual provider Active NPI

Juan F Bonano, M.D.

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1851341630
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13172 Issued in PR
Practice address
312 Ave de Diego
Museum Tower Suite 205
San Juan, PR 00909-1756
Phone
(787) 757-0820
Fax
(787) 768-1900
NPI assigned
May 11, 2006
Last updated
Aug 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13172 PR Primary

Addresses

Primary practice location

312 Ave de Diego
Museum Tower Suite 205
San Juan, PR 00909-1756

Mailing address

PO Box 40426
San Juan, PR 00940-0426
Phone (787) 757-0820

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
I20120807000584 PR Practitioner - Obstetrics/Gynecology 1557517554 Practice locations: Santurce, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

312 Ave de Diego Museum Tower
Suite 205
Santurce, PR 00909
Phone (787) 757-0820

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13172PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Community Hospital, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: juan.bonano@1143.chartlogic.direct-ci.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1851341630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40426",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009400426",
            "telephone_number": "787-757-0820",
            "fax_number": "787-768-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 AVE DE DIEGO",
            "address_2": "MUSEUM TOWER SUITE 205",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091756",
            "telephone_number": "787-757-0820",
            "fax_number": "787-768-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONANO",
        "first_name": "JUAN",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "13172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.