Individual
JORGE MELENDEZ- BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
3840
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038136301
—
PR
01
—
95189
TRIPLE S
PR
Enumeration date
03/21/2007
Last updated
08/28/2025
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