RAUL JOSE BONILLA
NPI 1083055164
Dentist - General Practice in San Antonio, TX

Q: What is Raul Bonilla's NPI number?

The NPI number for Raul Bonilla is 1083055164. It was assigned to this individual provider in the NPPES registry on July 17, 2013.

Q: What is Raul Bonilla's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Raul Bonilla was last updated on July 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 17, 2013

3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221(210) 334-3700(210) 271-7208 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Raul Jose Bonilla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAUL JOSE BONILLA (NPI 1083055164) is an individual general practice provider in San Antonio, Texas, licensed in Texas (29330) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1083055164

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameRAUL JOSE BONILLA

Location Address3750 COMMERCIAL AVESan Antonio, TX 78221-3117

Mailing Address3750 Commercial AveSan Antonio, TX 78221-3117 · (210) 334-3711 · Fax (210) 271-7208

Phone(210) 334-3700

Fax(210) 271-7208

Sole ProprietorNo

Enumeration DateJuly 17, 2013

✔ NPI 1083055164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 29330

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3750 COMMERCIAL AVE, San Antonio, TX 78221

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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