| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOSE ANGEL BONILLA | 1336854314 | 2023-01-13 |
Jose Angel Bonilla is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1336854314. Registration indicates Jose Angel Bonilla is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Dr. Jose Angel Bonilla |
| Practice Office Address | 70 CALLE SANTA CRUZ BAYAMON, PR US |
| Practice Office Telephone | 7876299150 |
| Mailing Address | PO BOX 609 AGUADA, PR 006020609 US |
| Business Telephone | 7876299150 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |