Individual
DR. IVELISE BUONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
C3 ELGRECO, PONCE, PR 00730
(787) 842-7786
Mailing address
PO BOX 7293, PONCE, PR 00732-7293
(787) 842-7868
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5968
PR
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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