Individual
MRS. IDALIA BONILLA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCDA
Contact information
Practice address
CARR 149 KM 58.1BARRIO TIERRA SANTA, VILLALBA, PR 00766
(787) 847-8600
(787) 847-3336
Mailing address
PO BOX 1542, VILLALBA, PR 00766-1542
(787) 847-8600
(787) 847-3336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3736
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3736
PHARMACIST LICENSE
PR
Enumeration date
12/19/2005
Last updated
07/08/2007
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