DR. JENNIFER BONILLA (NPI# 1003448507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003448507 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER BONILLA |
| Credential | DC |
| Practice Address |
5742 N Mesa St El Paso TX 79912-5427 |
| Mailing Address |
Po Box 700688 San Antonio TX 78270-0688 |
| Practice Telephone | 8004046050 |
| Mailing Telephone | 2103183007 |
| Mailing Fax Number | 2104680682 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 14369 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BOARD OF CHIROPRACTIC | 14369 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768041 | Jennifer Bonilla | Behavior Technician | 741 Glenvia St Ste 200, Glendale, CA 91206-2427 | 2020-07-29 |
| 1134482086 | Jennifer Bonilla | Home Health Aide | 5101 Wisconsin Ave Nw, Suite 250, Washington, DC 20016-4120 | 2012-06-15 |
| 1700142270 | Jennifer Bonilla | Specialist | 1000 Eddy Street, Providence, RI 02905 | 2012-04-09 |
| 1427331875 | Jennifer A Bonilla | Nurse Anesthetist, Certified Registered | 1450 Western Ave Ste 102, Anesthesia Group of Albany, PC, Albany, NY 12203-3539 | 2011-09-22 |
| Street Address |
5742 N MESA ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-5427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104178 | Desert Sun Chiropractic East | Chiropractor | 1470 George Dieter Dr Ste C, El Paso, TX 79936-7631 | 2020-02-03 |
| 1346889953 | Georges Chiropractic and Wellness Center, Pa | Chiropractor | 1400 N Zaragosa Suite D, El Paso, TX 79936 | 2019-12-30 |
| 1962933630 | Judith Pallares | Chiropractor | 3800 N Mesa St Ste C1, El Paso, TX 79902-1535 | 2017-03-24 |
| 1073055430 | Roms Chiropractic and Wellness | Chiropractor | 6600 N Mesa St Ste 502, El Paso, TX 79912-4425 | 2016-11-16 |
| 1275089237 | Airn Houlahan | Chiropractor | 17 Westgate Dr, El Paso, IL 61738-1485 | 2016-08-30 |
| 1366894255 | Francisco Javier Leon | Chiropractor | 11851 Physicians Dr, El Paso, TX 79936 | 2016-07-05 |
| 1326415092 | Charles William Karam | Chiropractor | 1030 N Zaragoza Rd Ste 200, El Paso, TX 79907-1863 | 2015-08-28 |
| 1417338120 | Huerta Fine Chiropractic | Chiropractor | 10622 Montwood Dr, Suite D, El Paso, TX 79935-2760 | 2015-06-18 |
| 1750775474 | Alejandro Huerta | Chiropractor | 1604 E Yandell Dr, El Paso, TX 79902-5632 | 2015-03-19 |
| 1124410188 | Benjamin Leyva | Chiropractor | 1393 George Dieter Dr Ste E, El Paso, TX 79936-7410 | 2015-02-28 |
| Find all providers in EL PASO | ||||
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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.