Individual
CARLOS ALEJANDRO BONILLA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 171 KM 3.9, BO RINCON, CIDRA, PR 00739
(787) 975-6277
Mailing address
P.O. BOX 1508, CAYEY, PR 00737-1508
(787) 975-6277
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11849
PR
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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