Individual
MR. JAVIER O BONILLA SALGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
CARR 159, KM 13.4, (ENTRADA URB. LOMA LINDA), COROZAL, PR 00783-1144
(787) 859-5755
(787) 859-4307
Mailing address
210-11 CALLE 508, CAROLINA, PR 00985-0000
(787) 203-3486
(787) 859-4307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1048
PR
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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