Individual
DR. JAIME BONILLA-SANTIAGO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-7514
(813) 978-5849
Mailing address
15903 BROCKWAY PL, TAMPA, FL 33647-1404
(813) 971-5495
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME 45019
FL
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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