Dr. Luis A Bonilla, MD
Surgery in Manati, PR. Individual provider (NPI-1).
NPI number1154301265
StatusActive
Last updated in NPPESMar 8, 2011
Details
- NPI
- 1154301265
- Entity type
- Individual (NPI-1)
- Name
- Dr. Luis A Bonilla
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2006
- Last updated
- Mar 8, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 17529 | PR | Yes |
| 208600000X | Surgery | MD426722 | PA |
Practice location
Carr #2 Km 47.7Doctor'S Center Hospital
Manati, PR 00674
Phone 787-363-2744 · Fax 787-854-3440
Mailing address
425 Carr 693Pmb 121
Dorado, PR 00646-4802
Phone 787-366-6445 · Fax 787-854-3440
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