Ms Teresa Rodriguez Bonilla, RDN IFNCP LDN, CLT - Medicare Dietitian in San Juan, PR

Ms Teresa Rodriguez Bonilla, RDN IFNCP LDN, CLT is a medicare enrolled "Dietitian, Registered" provider in San Juan, Puerto Rico. Her current practice location is 113 Calle Mallorca, San Juan, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at (727) 366-9663.

Ms Teresa Rodriguez Bonilla is licensed to practice in Florida (license number ND3736) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104865914.

Contact Information

Ms Teresa Rodriguez Bonilla, RDN IFNCP LDN, CLT
113 Calle Mallorca,
San Juan, PR 00917-3125
(727) 366-9663
(317) 427-6078

Map and Direction




Healthcare Provider's Profile

Full NameMs Teresa Rodriguez Bonilla
GenderFemale
SpecialityDietitian, Registered
Location113 Calle Mallorca, San Juan, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104865914
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 02/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820322159
  • Enrollment ID: I20190620001171

Medical Identifiers

Medical identifiers for Ms Teresa Rodriguez Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104865914NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered ND3736 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Teresa Rodriguez Bonilla allows following entities to bill medicare on her behalf.
Provider NameOpenloop Healthcare Partners Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1245820661
PECOS PAC ID: 2668871898
Enrollment ID: O20210830000934

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. Ms Teresa Rodriguez Bonilla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Teresa Rodriguez Bonilla, RDN IFNCP LDN, CLT
113 Calle Mallorca,
San Juan, PR 00917-3125

Ph: (727) 366-9663
Ms Teresa Rodriguez Bonilla, RDN IFNCP LDN, CLT
113 Calle Mallorca,
San Juan, PR 00917-3125

Ph: (727) 366-9663

Reviews and Comments


Dietitian, Registered in San Juan, PR

Mr. Omar Alexis Miranda, LND
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Phone: 787-641-7582    Fax: 787-641-8399
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Phone: 787-641-2323    
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Phone: 787-439-5253    
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Phone: 787-777-3535    Fax: 787-756-8907

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.