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DR. WALLY LOPEZ BONILLA MD
NPI 1780748236
Anesthesiology in San German, PR

Active since December 20, 2006PECOS Enrolled
HOSPITAL LA CONCEPCION CARR # 2 KM.173.4 2ND FLOOR, SAN GERMAN, PR 00683(787) 892-6972 Get Directions Write a Review

NPPES record last updated: January 22, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Wally Lopez Bonilla Md NPPES

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

DR. WALLY LOPEZ BONILLA MD (NPI 1780748236) is an individual anesthesiology provider in San German, Puerto Rico, licensed in Puerto Rico (11784) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780748236
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. WALLY LOPEZ BONILLACredential: MD
Location AddressHOSPITAL LA CONCEPCION CARR # 2 KM.173.4 2ND FLOORSan German, PR 00683
Mailing AddressHospital La Concepcion Carr # 2 Km.173.4 2nd FloorSan German, PR 00683 · (787) 892-6972
Phone(787) 892-6972
Sole ProprietorYes
Enumeration DateDecember 20, 2006
Last NPPES UpdateJanuary 22, 2010
✔ NPI 1780748236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in PR · 11784
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
HOSPITAL LA CONCEPCION CARR # 2 KM.173.4 2ND FLOOR, San German, PR 00683
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Other Identifiers 1

Medicare UPING41170PR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wally Lopez Bonilla 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 Wally Lopez Bonilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Anesthesia Associates LLC
29 mi
Specialist
2225 PONCE BY PASS, EDIFICIO PARRA SUITE 404
Ponce, PR 00731
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 11 clinicians in this Medicare group
NPI 1336120153 (787) 284-5398

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
11 services11 patients

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 Wally Lopez Bonilla's NPI number?

The NPI number for Wally Lopez Bonilla is 1780748236. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Wally Lopez Bonilla located?

Wally Lopez Bonilla practices at Hospital La Concepcion Carr # 2 Km.173.4 2nd Floor, San German, PR 00683. The listed phone number is (787) 892-6972.

What is Wally Lopez Bonilla's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Wally Lopez Bonilla enrolled in Medicare?

Yes. Wally Lopez Bonilla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wally Lopez Bonilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wally Lopez Bonilla reassigns Medicare benefits to Southern Anesthesia Associates LLC (Ponce, 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 Wally Lopez 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 Wally Lopez Bonilla was last updated on January 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.