Individual provider · NPI-1
Julia Bonilla
Family Medicine · Arecibo, PR
NPI number1871697045
StatusActive
Last updated in NPPESMar 28, 2017
Details
- NPI
- 1871697045
- Entity type
- Individual (NPI-1)
- Name
- Julia Bonilla
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2006
- Last updated
- Mar 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5756 | PR | Yes |
Practice location
Hospital Metropolitano De AreciboZona Industrial
Arecibo, PR 00612
Phone 787-816-1818 · Fax 787-816-1824
Mailing address
442 Ave Juan Rosado Ste 4Arecibo Community Based Outpatient Clinic
Arecibo, PR 00612-4241
Phone 787-641-7582
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