Individual
IRIS MARTA BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
CARR 2 KM 126.4, BO CAIMITAL BAJO, AGUADILLA, PR 00603
(787) 882-3230
Mailing address
HC 3 BOX 6230, RINCON, PR 00677-9007
(787) 392-1474
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
017796
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017796
RN
PR
05
—
017796
—
PR
Enumeration date
05/15/2019
Last updated
05/15/2019
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