JUAN ALFREDO BONILLA (NPI# 1548260078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548260078 |
| Entity Type | Individual |
| Full Name | JUAN ALFREDO BONILLA |
| Credential | M.D. |
| Practice Address |
16723 Huebner Rd San Antonio TX 78248-2342 |
| Mailing Address |
Po Box 29749 San Antonio TX 78229-0749 |
| Practice Telephone | 2107334368 |
| Practice Fax Number | 2104023417 |
| Mailing Telephone | 2107334368 |
| Mailing Fax Number | 2104023417 |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2011-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | G4841 | TX | Other Service Providers |
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
G4841 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 120180805 | 05 | |
| TX | 095065103 | 05 | |
| DPS | F0072234 | 01 | |
| TX | 120180801 | 05 | |
| DEA | BB1396200 | 01 | |
| TX | STATE LIC | G4841 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841625779 | Juan Jesus Bonilla | Social Worker | 405 W. 5th St, 590, Santa Ana, CA 92701-0000 | 2013-09-11 |
| 1154832731 | Juan Carlos Bonilla | Behavior Technician | 14411 Commerce Way Ste 310, Miami Lakes, FL 33016-1532 | 2017-10-23 |
| 1558327015 | Juan Jose Bonilla | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2006-04-25 |
| Street Address |
16723 HUEBNER RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78248-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719379 | Pediatric Ear, Nose & Throat Institute of South Texas | Specialist | 16723 Huebner Rd, San Antonio, TX 78248-2342 | 2005-06-02 |
| 1477065340 | Christina Farnsworth | Nurse Practitioner | 16723 Huebner Rd, San Antonio, TX 78248 | 2017-10-31 |
| 1154842474 | Allison Wagner Espinosa | Audiologist | 16723 Huebner Rd, San Antonio, TX 78248-2342 | 2017-06-28 |
| 1952576977 | Susan Donald Webb | Audiologist | 16723 Huebner Rd, San Antonio, TX 78248-2342 | 2008-04-30 |
| 1386720951 | Scott Duhaime | Physician Assistant | 16723 Huebner Rd, San Antonio, TX 78248-2342 | 2006-10-27 |
| 1982636742 | Roderick Donald Moe Jr. | Legal Medicine | 16723 Huebner Rd, San Antonio, TX 78248-2342 | 2006-07-06 |
| 1255331781 | Jose Arturo Bonilla | Specialist | 16723 Huebner Rd, San Antonio, TX 78248-2342 | 2005-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013443142 | Sarah Treat | Dietitian, Registered | 16535 Huebner, Suite 112, San Antonio, TX 78248 | 2017-05-10 |
| 1619351541 | Inmotion Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 15303 Huebner Rd., Bldg. 8, San Antonio, TX 78248 | 2015-07-09 |
| 1952707721 | Mary Ruesewald | Nurse Practitioner | 1150 Northwest Loop1604, San Antonio, TX 78248 | 2014-11-06 |
| 1538402672 | Luis Sergio Cardenas II | Nurse Practitioner | 16601 Huebner Road, San Antonio, TX 78248 | 2013-03-27 |
| 1225330004 | Saul Haskell Rosenthal | Psychiatry & Neurology | 14787 Cadillac Drive, San Antonio, TX 78248 | 2010-11-30 |
| 1609181833 | Thomas Charles Stehling | Pharmacist | 1150 Nw Loop 1604, San Antonio, TX 78248 | 2010-08-12 |
| 1366772329 | Allison M Luellen | Nurse Anesthetist, Certified Registered | 15 Marella Dr, San Antonio, TX 78248 | 2010-01-13 |
| 1740510718 | Gloria Sr John | Home Health | 2330 Winning Colors, San Antonio, TX 78248 | 2010-01-13 |
| 1831338318 | Julie Ann Cripps | Speech-Language Pathologist | 14215 Cavalcade, San Antonio, TX 78248 | 2009-02-06 |
| 1669647806 | Alhashmin A Murji | Family Medicine | 16675 Huebner Rd Ste 210, San Antonio, TX 78248 | 2008-04-29 |
| Find all providers in zip 78248 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548554645 | Continua Health Care Inc. | Otolaryngology | 926 Brooklyn Ave, San Antonio, TX 78215-1637 | 2011-06-06 |
| 1558522615 | Morgan Taylor Fordham Jr. | Otolaryngology | 333 N. Santa Rosa, Ste Ll, San Antonio, TX 78207 | 2008-06-21 |
| 1306807268 | William D Clark | Otolaryngology | 333 N Santa Rosa Street, Goldsbury Center Lower Level, San Antonio, TX 78207-3108 | 2006-03-30 |
| 1558359539 | Eric Wayne Baroni | Otolaryngology | 333 N. Santa Rosa St, Suite Ll, San Antonio, TX 78207-3108 | 2005-10-12 |
| 1033120399 | Lisa Mckay Buckmiller | Otolaryngology | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2006-08-11 |
| 1023000601 | Mark Boston | Otolaryngology | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740815950 | Yusif Hajiyev | Otolaryngology | 6701 Fannin St Ste 640.2, Houston, TX 77030-2608 | 2020-03-08 |
| 1982876058 | Matthew Seth Sitton | Otolaryngology | 6701 Fannin St Ste 540, Houston, TX 77030-2608 | 2008-03-29 |
| 1700088739 | Ronald Jason Vilela | Otolaryngology | 6701 Fannin St Ste 640, Houston, TX 77030-2610 | 2007-06-01 |
| 1205891553 | Alan Douglas Murray | Otolaryngology | 783 N Denton Tap Rd, Suite 200, Coppell, TX 75019-2169 | 2006-04-19 |
| 1942265285 | Paul Wade Bauer | Otolaryngology | 783 N. Denton Tap Rd, Ste 200, Coppell, TX 75019 | 2006-04-19 |
| 1043270630 | Amy Cornelia Brenski | Otolaryngology | 11445 Dallas Pkwy Ste 240, Frisco, TX 75033-4254 | 2006-03-27 |
| 1376532929 | James Hao-yuang Liu | Otolaryngology | 17450 St Lukes Way, 200, The Woodlands, TX 77384-8044 | 2005-10-17 |
| 1245661529 | Adult & Pediatric Ear, Nose, Throat & Allergy of The Woodlands, Pllc | Otolaryngology | 17450 St Lukes Way, Ste 200, The Woodlands, TX 77384-8044 | 2013-12-11 |
| 1366880080 | Frisco Ent for Children, P.l.l.c. | Otolaryngology | 11445 Dallas Pkwy, Suite 240, Frisco, TX 75033-4255 | 2013-06-05 |
| 1497199061 | Shiva Daram | Otolaryngology | 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 | 2013-04-24 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78248 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.