Individual
GLADYMAR BONILLA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
A-13 CALLE 1, URB RIO GRANDE ESTATE, RIO GRANDE, PR 00745
(787) 647-0729
Mailing address
A-13 CALLE 1, URB RIO GRANDE ESTATE, RIO GRANDE, PR 00745
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
004651
PR
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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