# BONILLA HEALTH GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Bonilla Health Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255997193
- **Authorized official:** VINCENT BONILLA MD (PRESIDENT)
- **Authorized official phone:** (787) 424-5533

## Contact information

- **Practice address:** 100 AVE LUIS MUNOZ MARIN, CAGUAS, PR 00725-6184
- **Practice address phone:** (787) 653-6060
- **Mailing address:** 29 CALLE BASILIO CATALA, COND PRADOS DEL MONTE APT 709, GUAYNABO, PR 00971
- **Mailing address phone:** (787) 424-5533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2019
- **Last updated:** 05/16/2019