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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEJANDRA BONILLA TIBOCHA
NPI 1821708553
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since December 05, 2022PECOS Enrolled
579 COURTLANDT AVE, BRONX, NY 10451(718) 485-2100 Get Directions Write a Review

NPPES record last updated: July 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alejandra Bonilla Tibocha NPPES

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

ALEJANDRA BONILLA TIBOCHA (NPI 1821708553) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1821708553
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALEJANDRA BONILLA TIBOCHA
Location Address579 COURTLANDT AVEBronx, NY 10451-5013
Mailing Address25 Nagle Ave Apt 5gNew York, NY 10040-1430 · (646) 641-5592
Phone(718) 485-2100
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 5, 2022
Last NPPES UpdateJuly 5, 2026
NPPES CertifiedJuly 5, 2026
✔ NPI 1821708553 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.
579 COURTLANDT AVE, Bronx, NY 10451
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alejandra Bonilla Tibocha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628532421
PECOS Enrollment IDI20260713003050
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.

ILIANA PAOLA MEDINA
Social Worker
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
KELVIN OLIVO
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
MS. RHAZEEL JANGLERI PLATA
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
VANESSA BAEZ
Social Worker
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
MS. JOMAIRA LUZ MARTINEZ LMSW
Social Worker (Clinical)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
RENNY JASMIN RIVERA
Social Worker
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
ASHEA ACEVEDO
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
SARAH JENSEN MHC
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100

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 Alejandra Bonilla Tibocha's NPI number?

The NPI number for Alejandra Bonilla Tibocha is 1821708553. It was assigned to this individual provider in the NPPES registry on December 5, 2022.

Where is Alejandra Bonilla Tibocha located?

Alejandra Bonilla Tibocha practices at 579 Courtlandt Ave, Bronx, NY 10451. The listed phone number is (718) 485-2100.

What is Alejandra Bonilla Tibocha's specialty?

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

Is Alejandra Bonilla Tibocha enrolled in Medicare?

Yes. Alejandra Bonilla Tibocha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alejandra Bonilla Tibocha was last updated on July 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.