Dr. Jose Angel Bonilla

Individual provider Public Health or Welfare Agency · NPI 1336854314

Dr. Jose Angel Bonilla is a General Practice in Mayaguez, Puerto Rico. Qualified in 2006, 20 years ago. Practices with Costa Salud Community Health Centers Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying: 20
Licensed in: PR
In the registry since: 2023
Specialties on file: 2

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

327 Calle Broadway
Mayaguez, PR 00680-4658
Phone: (787) 629-9150

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Specialties & licences

General Practice Physician (primary)	Taxonomy 208D00000X · Licence 23655 (PR)
Public Health or Welfare Agency	Taxonomy 251K00000X (PR)

Record details

NPI number	1336854314
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	January 13, 2023
Last updated in NPPES	April 2, 2024
Certification date	April 2, 2024

Medicare enrollment

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

Medicare specialty	GENERAL PRACTICE
Medical school	OTHER
Graduated	2006 (20 years in practice)
Group practice	Costa Salud Community Health Centers Inc — 20 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount