Individual
JUAN SAMUEL IGNACIO BONILLA-PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 AVE BORINQUEN, BARRIO OBRERO, SAN JUAN, PR 00915
(787) 268-4171
Mailing address
PO BOX 14457, BARRIO OBRERO STATION, SAN JUAN, PR 00916
(787) 268-4171
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
16664
PR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
292251-1
NY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD048978
DC
Other
Enumeration date
06/11/2007
Last updated
06/30/2022
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