Individual
MRS. MIOSOTIS BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8145 CALLE SUR, URB. LOS MAESTROS, PONCE, PR 00717-0262
(787) 317-1983
Mailing address
8145 CALLE SUR, URB. LOS MAESTROS, PONCE, PR 00717-0262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1041C0700X
PR
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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