Individual
STEPHANIE MARIE BONILLA PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PROFESSIONAL OFFICES PARK IV, 997 SAN ROBERTO STREET, SAN JUAN, PR 00926
(787) 773-6508
(787) 773-6544
Mailing address
1785 JOSE FERRER Y FERRER, COND. MILLENIA PARK 1103, SAN JUAN, PR 00921
(787) 206-8074
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PSI46121
FL
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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