Organization
HOSPICIO BONILLA L.L.C.
Active
Other names
Hospicio Bonilla
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT BONILLA MD (PRESIDENT)
(787) 424-5533
Entity
Organization
Contact information
Practice address
HOSPITAL HIMA-SAN PABLO CAGUAS, FACULTAD MEDICA HIMA SP-CAGUAS APARTADO 4980, CAGUAS, PR 00726
(787) 653-3434
(787) 961-4562
Mailing address
29 CALLE BASILIO CATALA, COND PRADOS DEL MONTE APT 709, GUAYNABO, PR 00971
(787) 424-5533
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
05/13/2019
Last updated
05/19/2019
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