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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: September 20, 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 and maintains a secondary practice location in Ponce.

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
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koby Hiram Bonilla Fernandez 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.

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.

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 2 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.