Individual
WILMARYS BONILLA BENIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 4417 KM 0.3 INTERIOR, AGUADA, PR 00602
(939) 865-1772
Mailing address
PO BOX 1161, AGUADA, PR 00602-1161
(939) 865-1772
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00603
MEDICO ASISTENTE
—
Enumeration date
10/25/2022
Last updated
10/25/2022
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