Individual
DR. JOSE ANGEL BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
327 CALLE BROADWAY, MAYAGUEZ, PR 00680-4658
(787) 629-9150
Mailing address
PO BOX 609, AGUADA, PR 00602-0609
(787) 629-9150
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23655
PR
251K00000X
Public Health or Welfare Agency
—
PR
Other
Enumeration date
01/13/2023
Last updated
04/02/2024
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