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:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 1154301265 | NPPES |
| Pennsylvania | MEDICAID | 1014293760003 |
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