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Individual
JUAN SAMUEL IGNACIO BONILLA-PEREZ
Active
Individual
JUAN SAMUEL IGNACIO BONILLA-PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
292251
NY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
16664
PR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
292251-1
NY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD048978
DC
Other
Enumeration date
06/11/2007
Last updated
07/29/2026
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