EDWIN BONILLA GONZALEZ MD - NPI 1407854649 - General Practice in Aguas Buenas, PR

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

On this page

About Edwin Bonilla Gonzalez Md NPPES

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

EDWIN BONILLA GONZALEZ MD (NPI 1407854649) is an individual general practice provider in Aguas Buenas, Puerto Rico, licensed in Puerto Rico (11614) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1407854649

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameEDWIN BONILLA GONZALEZCredential: MD

Location Address39 CALLE MUNOZ RIVERA, CALLE MUNOZ RIVERA 39Aguas Buenas, PR 00703-3233

Mailing AddressPo Box 4952, Po Box 4952Caguas, PR 00726-4952 · (787) 732-7424

Phone(787) 732-7424

Fax(787) 732-7424

Sole ProprietorNo

Enumeration DateJuly 12, 2005

Last NPPES UpdateJanuary 12, 2016

✔ NPI 1407854649 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 · 11614

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

39 CALLE MUNOZ RIVERA, Aguas Buenas, PR 00703

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF94455

Medicare ID-Type Unspecified684792PR

Other Providers at the Same Location NPPES 2

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

MILLENIUM MEDICAL CARE INC

General Practice

39 CALLE MUNOZ RIVERA, AGUAS BUENAS
AGUAS BUENAS, PR 00703

Aguas Buenas Municipio (787) 732-7424

SGMJ MEDICAL CARE LLC

General Practice

39 CALLE MUNOZ RIVERA
AGUAS BUENAS, PR 00703

Aguas Buenas Municipio (787) 732-7424

Frequently Asked Questions

What is Edwin Bonilla Gonzalez's NPI number?

The NPI number assigned to this healthcare provider is 1407854649, enumerated as an "individual" on July 12, 2005.

Where is the provider located?

The provider is located at 39 CALLE MUNOZ RIVERA CALLE MUNOZ RIVERA 39 AGUAS BUENAS, PR 00703 and the phone number is (787) 732-7424.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.

What insurance does Edwin Bonilla Gonzalez accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.