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Organization
BONILLA GASTROENTEROLOGY LLC
Active
Organization
BONILLA GASTROENTEROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO BONILLA VALENTIN MD (PRESIDENTE)
(787) 215-6410
Entity
Organization
Contact information
Practice address
187 AVE UNIVERSIDAD INTERAMERICANA, EDIFICIO RALI, SAN GERMAN, PR 00683-0068
(787) 215-6410
Mailing address
PO BOX 1387, CABO ROJO, PR 00623-1387
(787) 215-6410
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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