Individual
JENELLE BONILLA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PO BOX 4055, AGUADILLA, PR 00605-4055
(787) 658-0000
Mailing address
HC 56 BOX 4355, AGUADA, PR 00602-8606
(787) 629-5968
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
24817
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/07/2024
Last updated
02/14/2026
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