Individual
CARLOS ANTONIO BONILLA-RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
ESTANCIAS DEL ORIOL, 209, PONCE, PR 00730
(787) 396-1860
Mailing address
ESTANCIAS DEL ORIOL, 209, PONCE, PR 00730
(787) 396-1860
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1072
PR
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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