DR. JOSE ANGEL BONILLA
NPI 1336854314
General Practice in Mayaguez, PR

Q: What is Jose Bonilla's NPI number?

The NPI number for Jose Bonilla is 1336854314. It was assigned to this individual provider in the NPPES registry on January 13, 2023.

Q: What is Jose Bonilla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jose Bonilla was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 13, 2023PECOS EnrolledAccepts Medicare Assignment

327 CALLE BROADWAY, MAYAGUEZ, PR 00680(787) 629-9150 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2024, Jan 13, 2023 (2 updates tracked since 2023).

On this page

About Dr. Jose Angel Bonilla NPPES

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

DR. JOSE ANGEL BONILLA (NPI 1336854314) is an individual general practice provider in Mayaguez, Puerto Rico, licensed in Puerto Rico (23655) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1336854314

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JOSE ANGEL BONILLA

Location Address327 CALLE BROADWAYMayaguez, PR 00680-4658

Mailing AddressPo Box 609Aguada, PR 00602-0609 · (787) 629-9150

Phone(787) 629-9150

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateJanuary 13, 2023

Last NPPES UpdateApril 2, 20242 updates tracked since enumeration

NPPES CertifiedApril 2, 2024

✔ NPI 1336854314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in PR · 23655

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

Also ListedPublic Health or WelfareTaxonomy 251K00000X

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose Angel Bonilla is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224573365

PECOS Enrollment IDI20240712001063

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 Reassignments

Medicare enrollment records show Jose Bonilla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinica Yaguez, Inc.

Multi-Specialty

117 CALLE RAMON VALDES
Mayaguez, PR 00680

Reassigned Medicare billing, Puerto Rico enrollment
61 clinicians in this Medicare group

NPI 1326069220 (787) 832-8444

Costa Salud Community Health Centers Inc

Federally Qualified Health Center (FQHC)

BO ASOMANTE, 106 CALLE COLON
Aguada, PR 00602

Reassigned Medicare billing, Puerto Rico enrollment
44 clinicians in this Medicare group

NPI 1023606910 (787) 252-5500

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

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 Jose Bonilla's NPI number?

The NPI number for Jose Bonilla is 1336854314. It was assigned to this individual provider in the NPPES registry on January 13, 2023.

Where is Jose Bonilla located?

Jose Bonilla practices at 327 Calle Broadway, Mayaguez, PR 00680. The listed phone number is (787) 629-9150.

What is Jose Bonilla's specialty?

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

Is Jose Bonilla enrolled in Medicare?

Yes. Jose Bonilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jose Bonilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Bonilla reassigns Medicare benefits to 2 organizations: Clinica Yaguez, Inc. (Mayaguez, PR) and Costa Salud Community Health Centers Inc (Aguada, PR). Each 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 Jose Bonilla'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 Jose Bonilla was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.