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

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: August 02, 2026.

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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.