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DR. SEBASTIAN ALEXIS BONILLA BENITEZ MD
NPI 1235803586
General Practice in Fajardo, PR

Active since August 02, 2021PECOS Enrolled
404 AVE GENERAL VALERO, FAJARDO, PR 00738(787) 655-0505 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2023, Jul 8, 2022, Aug 2, 2021 (3 updates tracked since 2021).

About Dr. Sebastian Alexis Bonilla Benitez Md NPPES

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

DR. SEBASTIAN ALEXIS BONILLA BENITEZ MD (NPI 1235803586) is an individual general practice provider in Fajardo, Puerto Rico, licensed in Puerto Rico (23372) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fajardo.

NPPES Registry Identity

NPI1235803586
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. SEBASTIAN ALEXIS BONILLA BENITEZCredential: MD
Location Address404 AVE GENERAL VALEROFajardo, PR 00738-3998
Mailing AddressUrb Veve Calzada Calle 3a O28Fajardo, PR 00738 · (787) 602-2923
Phone(787) 655-0505
Sole ProprietorYes
Enumeration DateAugust 2, 2021
Last NPPES UpdateJuly 7, 20233 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
✔ NPI 1235803586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 23372
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Practice Location 1

Location 1151 Ave Osvaldo MolinaFajardo, PR 00738-4013 · Phone (787) 801-0081

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sebastian Alexis Bonilla Benitez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sebastian Bonilla Benitez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro Medico Del Turabo Inc
Multi-Specialty
HIMA SAN PABLO CAGUAS, URB MARIOLGA #100 AVE LUIS MUNOZ MARIN
Caguas, PR 00725
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 428 clinicians in this Medicare group
NPI 1710107883 (787) 653-3434

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

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

DR. JUAN LUIS VAZQUEZ MD
General Practice
404 AVE GENERAL VALERO
FAJARDO, PR 00738
Fajardo Municipio (787) 988-9431
DR RENAN L VELAZQUEZ ORTIZ MEDICAL SERVICES LLC
General Practice
404 AVE GENERAL VALERO
FAJARDO, PR 00738
Fajardo Municipio (787) 863-0505
CENTRO MEDICO DEL TURABO INC
Internal Medicine (Geriatric Medicine)
404 AVE GENERAL VALERO
FAJARDO, PR 00738
Fajardo Municipio (787) 655-0505
DR. IOLANI GARCIA M.D.
Internal Medicine
404 AVE GENERAL VALERO
FAJARDO, PR 00738
Fajardo Municipio (787) 435-0362
DR. GUSTAVO ADOLFO INFANTE NERYS MD
General Practice
404 AVE GENERAL VALERO
FAJARDO, PR 00738
Fajardo Municipio (787) 863-0505
JV MEDICAL & HEALTH CARE SERVICES LLC
General Practice
404 AVE GENERAL VALERO
FAJARDO, PR 00738
Fajardo Municipio (787) 585-3997
DR. JOHN N VELAZQUEZ RODRIGUEZ M.D.
General Practice
404 AVE GENERAL VALERO
FAJARDO, PR 00738
Fajardo Municipio (787) 585-3997
NOVA INFUSION & COMPOUNDING PHARMACY
Clinic/Center
404 AVE GENERAL VALERO
FAJARDO, PR 00738
Fajardo Municipio (787) 720-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sebastian Bonilla Benitez's NPI number?

The NPI number for Sebastian Bonilla Benitez is 1235803586. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Where is Sebastian Bonilla Benitez located?

Sebastian Bonilla Benitez practices at 404 Ave General Valero, Fajardo, PR 00738. The listed phone number is (787) 655-0505.

What is Sebastian Bonilla Benitez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Sebastian Bonilla Benitez enrolled in Medicare?

Yes. Sebastian Bonilla Benitez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sebastian Bonilla Benitez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sebastian Bonilla Benitez reassigns Medicare benefits to Centro Medico Del Turabo Inc (Caguas, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sebastian Bonilla Benitez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sebastian Bonilla Benitez was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.