Individual
MR. JOHN MICHAEL BONILLA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
ED CENTERPLEX CARRETERA #2 KM 133.5, SUITE 103, AGUADA, PR 00602
(787) 891-4833
(787) 882-5405
Mailing address
114 CALLE CENTRAL, AGUADA, PR 00602-8697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004614
PR
Other
Enumeration date
08/05/2019
Last updated
06/11/2022
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