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Export Provider Record NPI 1154301265
Luis A BonillaMD
Active
NPI Number1154301265
NPI TypeNPI-1 Individual
SpecialtySurgery
Provider Details
NPI1154301265
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-01-17
Last Updated2011-03-08
Mailing Address425 Carr 693, Pmb 121
Dorado, PR 00646-4802
United States
Phone: (787) 366-6445 | Fax: (787) 854-3440
📍 View Map
Primary Practice AddressCarr #2 Km 47.7, Doctor'S Center Hospital
Manati, PR 00674
United States
Phone: (787) 363-2744 | Fax: (787) 854-3440
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDPA1014293760003
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No208600000X – SurgeryPAMD426722
Yes208600000X – SurgeryPR17529
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About NPI 1154301265

Luis A Bonilla MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1154301265. The primary specialty listed is Surgery. The provider is located in Manati, PR. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-01-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1154301265?

NPI 1154301265 belongs to Luis A Bonilla MD, a Surgery in Manati, PR. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1154301265 active?

The current status of NPI 1154301265 in the NPPES registry is Active. The record was last updated on 2011-03-08.

What specialty is NPI 1154301265?

NPI 1154301265 is classified under the taxonomy Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1154301265?

You can verify NPI 1154301265 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1154301265?

The primary practice address on file for NPI 1154301265 is Carr #2 Km 47.7, Manati, PR 00674. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1154301265 issued?

NPI 1154301265 was first issued (enumerated) on 2006-01-17. The NPPES record was last updated on 2011-03-08.

Practice Location Map

Luis A Bonilla is located at Carr #2 Km 47.7, Manati, PR. Use the map below to find directions or verify the practice location.

📍 Carr #2 Km 47.7, Manati, PR 00674  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Luis A Bonilla. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1154301265. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
SurgeryMD426722PA
Surgery17529PR
Data Verified from CMS NPPES Last synced: 2026-07-04 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162