Individual
WILFREDO GAUDINO BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
H30 CALLE COQUI DORADO, MANSIONES MONTE VERDE, CAYEY, PR 00736
(939) 335-9115
Mailing address
H30 CALLE COQUI DORADO, MANSIONES MONTE VERDE, CAYEY, PR 00736
(939) 335-9115
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1222
PR
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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