Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Javier Bonilla

Individual provider Pediatrics Physician · NPI 1689060642

Javier Bonilla is a Pediatric Medicine in San Antonio, Texas. Qualified in 2015, 11 years ago. Practices with University of Texas Health Science Center at San Antonio, a 1,295-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015
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Practice location Address checks out

4502 Medical Dr
San Antonio, TX 78229-4402
Phone: (210) 358-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13022 Jones Maltsberger Rd, San Antonio, TX 78247-4219 — (210) 491-0772

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence S1986 (TX)

Record details

NPI number1689060642
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2015
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023
Mailing address4502 Medical Dr, San Antonio, TX 78229-4402

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Of Texas Health Science Center At San Antonio — 1295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Antonio