MARIMAR DE LA CRUZ BONILLA MD, PHD
NPI 1750944229
Student in an Organized Health Care Education/Training Program in Houston, TX

Q: What is Marimar De La Cruz Bonilla's NPI number?

The NPI number for Marimar De La Cruz Bonilla is 1750944229. It was assigned to this individual provider in the NPPES registry on April 19, 2019.

Q: What is Marimar De La Cruz Bonilla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 19, 2019PECOS Enrolled

1 BAYLOR PLZ # BCM320, HOUSTON, TX 77030(832) 824-1170(832) 825-6497 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2026, May 6, 2020, Apr 19, 2019 (3 updates tracked since 2019).

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About Marimar De La Cruz Bonilla Md, Phd NPPES

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

MARIMAR DE LA CRUZ BONILLA MD, PHD (NPI 1750944229) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of University Of Puerto Rico School Of Medicine (2020).

NPPES Registry Identity

NPI1750944229

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARIMAR DE LA CRUZ BONILLACredential: MD, PHD

Location Address1 BAYLOR PLZ # BCM320Houston, TX 77030-3411

Mailing Address1 Baylor Plz # Bcm320Houston, TX 77030-3411 · (832) 824-1170 · Fax (832) 825-6497

Phone(832) 824-1170

Fax(832) 825-6497

Sole ProprietorNo

Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2020

Enumeration DateApril 19, 2019

Last NPPES UpdateMay 6, 20203 updates tracked since enumeration

NPPES CertifiedMay 6, 2020

✔ NPI 1750944229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 BAYLOR PLZ # BCM320, Houston, TX 77030

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Secondary Practice Location 1

Location 11 Baylor Plz # Bcm320Houston, TX 77030-3411 · Phone (832) 824-1170 · Fax (832) 825-6497

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marimar De La Cruz Bonilla Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426529033

PECOS Enrollment IDI20260604002489

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.

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.

KHANH LINH NGUYEN MD

Student in an Organized Health Care Education/Training Program