Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gabriel L Bonilla, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1023080744

Dr. Gabriel L Bonilla, MD is a Pain Management in Phoenix, Arizona. Graduated from University of Puerto Rico School of Medicine in 2000, 26 years ago. Practices with Active Life Physical Medicine and Pain Center PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
26
Trained at
University of Puerto Rico School of Medicine
Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2526 W Rancho Laredo Dr
Phoenix, AZ 85085-7168
Phone: (928) 600-6762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 32912 (AZ)

Record details

NPI number1023080744
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 6, 2006
Last updated in NPPESMay 1, 2020
Certification dateMay 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Medical schoolUNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Active Life Physical Medicine And Pain Center Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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