Individual
DR. DUBIEZEL MEDINA BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR 345 INT KM 3.3 SECTOR COLOSO MEDINA BO LAVADERO, HORMIGUEROS, PR 00660-9714
(787) 237-1235
Mailing address
HC 1 BOX 6664, HORMIGUEROS, PR 00660-9714
(787) 237-1235
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22470
PR
390200000X
Student in an Organized Health Care Education/Training Program
15458I
PR
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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