Individual
EDWIN BONILLA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39 CALLE MUNOZ RIVERA, CALLE MUNOZ RIVERA 39, AGUAS BUENAS, PR 00703-3233
(787) 732-7424
(787) 732-7424
Mailing address
PO BOX 4952, PO BOX 4952, CAGUAS, PR 00726-4952
(787) 732-7424
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11614
PR
Other
Enumeration date
07/12/2005
Last updated
01/12/2016
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