Individual
DIANA M AVILES BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
CALLE 13 E-45 URB.VILLA NUEVA, CAGUAS, PR 00725
(787) 245-6861
Mailing address
CALLE 13 E-45 URB.VILLA NUEVA, CAGUAS, PR 00725
(787) 245-6861
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2229
PR
Other
Enumeration date
06/26/2006
Last updated
08/03/2011
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