Individual provider · NPI-1

Glorimar Bonilla

Student in an Organized Health Care Education/Training Program · Guaynabo, PR

NPI number1831849256
StatusActive
Last updated in NPPESMay 31, 2022

Details

NPI
1831849256
Entity type
Individual (NPI-1)
Name
Glorimar Bonilla
Sex
Female
Sole proprietor
No
Enumeration date
Mar 28, 2022
Certification date
May 31, 2022
Last updated
May 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program2783PRYes
183500000X Pharmacist2783PR
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist2783PR

Practice location

35 Calle Juan C Borbon
Guaynabo, PR 00969-5374

Phone 787-287-3725

Mailing address

35 Calle Juan C Borbon Ste 77
Guaynabo, PR 00969-5375

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