Individual
MAGDALIZ BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
155 CALLE FLAMINGO, VILLAS DE LA PLAYA, VEGA BAJA, PR 00693-6034
(787) 409-2434
Mailing address
155 CALLE FLAMINGO, URB VILLAS DE LA PLAYA, VEGA BAJA, PR 00693-6034
(787) 409-2434
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1952
PR
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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