Jorge L. Bonilla OD

NPI 1053303289 - Optometrist - 152W00000X

NPI Details
NPI 1053303289
Gender Male
Enumeration Date 08/15/2005
Last Updated 04/19/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
2053 PONCE BY PASS
SUITE 104
PONCE PR, 00717-1306, US
Phone (787) 848-2885
Fax (787) 848-4496
Business Location
2053 PONCE BY PASS
SUITE 104
PONCE PR, 00717-1306, US
Phone (787) 848-2885
Fax (787) 848-4496
Toxanomy
Taxonomy Code 152W00000X
License State Puerto Rico
License Number 149
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According to our database, Dr. Jorge L. Bonilla OD NPI is 1053303289, taxonomy code is 152W00000X and license number is 149, license state is located at Puerto Rico. Jorge L. Bonilla OD physically located at 2053 Ponce By Pass, Ponce PR, 00717-1306. NPI Number Jorge L. Bonilla OD has the Individual type.

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1053303289 NPI number is provided on an as is basis without warranty of any kind. 1053303289 is maintained by the National Plan & Provider Enumeration System. The contents of Jorge L. Bonilla OD are for informational purposes only.