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KOBY HIRAM BONILLA FERNANDEZ
NPI 1962965616
Obstetrics & Gynecology in Villalba, PR

Active since April 10, 2019PECOS Enrolled
URB. ALTURAS DEL ALBA, C. ATARDECER 10916, VILLALBA, PR 00766(939) 451-9776 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 14, 2026, Jun 5, 2026, Apr 10, 2019 (3 updates tracked since 2019).

About Koby Hiram Bonilla Fernandez NPPES

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

KOBY HIRAM BONILLA FERNANDEZ (NPI 1962965616) is an individual obstetrics & gynecology provider in Villalba, Puerto Rico, licensed in Puerto Rico (24912) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ponce, and is a graduate of San Juan Bautista School Of Medicine (2020).

NPPES Registry Identity

NPI1962965616
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameKOBY HIRAM BONILLA FERNANDEZ
Location AddressURB. ALTURAS DEL ALBA, C. ATARDECER 10916Villalba, PR 00766
Mailing Address10916 Calle AtardecerVillalba, PR 00766-2339 · (939) 451-9776
Phone(939) 451-9776
Sole ProprietorNo
Medical School CMSSan Juan Bautista School Of MedicineGraduated 2020
Enumeration DateApril 10, 2019
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1962965616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PR · 24912
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Secondary Practice Location 1

Location 1Avenida Tito Castro, 1255 Plaza las Monjitas, suite M 161Ponce, PR 00730 · Phone (939) 451-9776

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koby Hiram Bonilla Fernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446710966
PECOS Enrollment IDI20260903003619
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 Koby Bonilla Fernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obstetrics And Gynecology Health Center LLC
Obstetrics
1255 PASEO LAS MONJITAS, SUITE M161 AVE TITO CASTRO
Ponce, PR 00730
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 2 clinicians in this Medicare group
NPI 1992586481 (787) 651-7816

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Koby Bonilla Fernandez's NPI number?

The NPI number for Koby Bonilla Fernandez is 1962965616. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Koby Bonilla Fernandez located?

Koby Bonilla Fernandez practices at Urb. Alturas Del Alba C. Atardecer 10916, Villalba, PR 00766. The listed phone number is (939) 451-9776.

What is Koby Bonilla Fernandez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Koby Bonilla Fernandez enrolled in Medicare?

Yes. Koby Bonilla Fernandez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Koby Bonilla Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Koby Bonilla Fernandez reassigns Medicare benefits to Obstetrics And Gynecology Health Center 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 Koby Bonilla Fernandez'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 Koby Bonilla Fernandez was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.