Individual
DR. LUIS ANGEL BONILLA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
URB. CROWN HILLS CALLE CARITE #143, SAN JUAN, PR 00926
(787) 754-2719
Mailing address
138 W. CHURCHILL AVE. SUITE 533, SAN JUAN, PR 00926
(787) 309-7344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16705
PR
207RI0200X
Infectious Disease Physician
Primary
16705
PR
Other
Enumeration date
07/02/2007
Last updated
12/02/2009
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