Koby Hiram Bonilla Fernandez, is a
Student In An Organized Health Care Education/training Program physician based in Villalba, Puerto Rico. Koby Hiram Bonilla Fernandez is licensed to practice in * (Not Available) (license number ) and his current practice location is Urb. Alturas Del Alba, C. Atardecer 10916, Villalba, Puerto Rico. He can be reached at his office (for appointments etc.) via phone at
(939) 451-9776.
NPI number for Koby Hiram Bonilla Fernandez is 1962965616 and his current mailing address is 10916 Calle Atardecer, Villalba, Puerto Rico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962965616.
Physician's Profile
| Full Name | Koby Hiram Bonilla Fernandez |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | Urb. Alturas Del Alba, Villalba, Puerto Rico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962965616
- Provider Enumeration Date: 04/10/2019
- Last Update Date: 06/05/2026
Medical Identifiers
Medical identifiers for Koby Hiram Bonilla Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962965616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 24912 (Puerto Rico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Koby Hiram Bonilla Fernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Koby Hiram Bonilla Fernandez,
10916 Calle Atardecer,
Villalba, PR 00766-2339
Ph: (939) 451-9776 | Koby Hiram Bonilla Fernandez,
Urb. Alturas Del Alba, C. Atardecer 10916,
Villalba, PR 00766
Ph: (939) 451-9776 |
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