Individual
AIDALIZ LLORENS BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1150 COCOA AVE, HERSHEY, PA 17033-1712
(717) 531-6015
Mailing address
PO BOX 858, MC CA410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15544
PR
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD490246
PA
Other
Enumeration date
02/13/2018
Last updated
07/11/2025
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