Bonilla Davila, Jorge L.
Bonilla Davila, Jorge L. is an sole proprietor health care provider with primary practice located at 2053 Ponce By Pass Suite 104, Ponce PR 00717-1306. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bonilla Davila, Jorge L. can be contacted via phone (787) 848-2885.Contact Information
Primary practice address
2053 Ponce By Pass Suite 104
Ponce PR 00717-1306
Phone: (787) 848-2885
Fax: (787) 848-4496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 149 | Puerto Rico |
Profile Details
| NPI number | 1053303289 |
|---|---|
| LBN Legal business name | Bonilla Davila, Jorge L. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jan 26th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053303289 | NPPES |
| Puerto Rico | MEDICAID | 1053303289 |
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