Individual
DR. LUIS A BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR #2 KM 47.7, DOCTOR'S CENTER HOSPITAL, MANATI, PR 00674
(787) 363-2744
(787) 854-3440
Mailing address
425 CARR 693, PMB 121, DORADO, PR 00646-4802
(787) 366-6445
(787) 854-3440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17529
PR
208600000X
Surgery Physician
MD426722
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014293760003
—
PA
Enumeration date
01/17/2006
Last updated
03/08/2011
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