Individual
DR. DIANNE M CARRASQUILLO BONILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CENTRO MEDICO DE PUERTO RICO, BO MONACILLOS CARR 22, RIO PIEDRAS, PR 00976
(787) 765-7950
Mailing address
109 CALLE COSTA RICA CONDOMINIO GRANADA, APT 1B, SAN JUAN, PR 00917-4724
(787) 405-1271
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
19747
PR
208D00000X
General Practice Physician
19747
PR
Other
Enumeration date
05/18/2016
Last updated
07/15/2021
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