Bonilla, Luis A

Bonilla, Luis A is an sole proprietor health care provider with primary practice located at Carr #2 Km 47.7 Doctor'S Center Hospital, Manati PR 00674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bonilla, Luis A can be contacted via phone (787) 363-2744.

Contact Information

Primary practice address
Carr #2 Km 47.7 Doctor'S Center Hospital Manati PR 00674
Phone: (787) 363-2744
Fax: (787) 854-3440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD426722 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 17529 Puerto Rico

Profile Details

NPI number 1154301265
LBN Legal business name Bonilla, Luis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Mar 8th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154301265 NPPES
Pennsylvania MEDICAID 1014293760003

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