Individual provider · Type 1 NPI

Juan Samuel Ignacio Bonilla-Perez, MD

Family Medicine Physician · Brooklyn, NY

NPI number 1205039757 Active

Practice location

1114 Liberty Ave
Brooklyn, NY 11208-2922

Call (718) 765-6058 Map

Fax (347) 808-4895

Mailing address

PO Box 746087
Atlanta, GA 30374-6087

Other practice locations

  • 2020 Ave Borinquen, Barrio Obrero, San Juan, PR 00915 · (787) 268-4171

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Family Medicine) Physician 207QG0300X16664 (PR)
Geriatric Medicine (Family Medicine) Physician 207QG0300XMD048978 (DC)
Family Medicine Physician Primary 207Q00000X292251 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1205039757

Juan Samuel Ignacio Bonilla-Perez, MD's National Provider Identifier is 1205039757, issued on Jun 11, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 29, 2026.