| Dr Wally Lopez Bonilla, MD | |
|
Hospital La Concepcion Carr # 2 Km.173.4 2nd Floor, San German, PR 00683 | |
| (787) 892-6972 | |
| Not Available |
| Full Name | Dr Wally Lopez Bonilla |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | Hospital La Concepcion Carr # 2 Km.173.4 2nd Floor, San German, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780748236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 11784 (Puerto Rico) | Primary |
| Entity Name | Anestesiologos De San German, C.s.p. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043374705 PECOS PAC ID: 0143249128 Enrollment ID: O20051118000536 |
| Entity Name | Southern Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336120153 PECOS PAC ID: 7810963287 Enrollment ID: O20110729000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wally Lopez Bonilla, MD Hospital La Concepcion Carr # 2 Km.173.4 2nd Floor, San German, PR 00683 Ph: (787) 892-6972 | Dr Wally Lopez Bonilla, MD Hospital La Concepcion Carr # 2 Km.173.4 2nd Floor, San German, PR 00683 Ph: (787) 892-6972 |
Dr. Ernesto Luis Jusino Roman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2 Calle Carro, Hospital De La Concepcion 2nd Floor, San German, PR 00683 Phone: 787-892-1860 Fax: 787-892-6972 | |
Dr. Gabriel Altieri Acevedo, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Carr #2 Km 173.4 Bo Cain Alto, San German, PR 00683 Phone: 787-368-1816 Fax: 787-892-4500 | |
Dr. Jose Ramon Fuentes Rodriguez, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: #8 C. Luz Celenia Tirado, San German, PR 00683 Phone: 787-529-5545 | |
Dr. Jose Manuel Ramirez-franco, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: Carr 2 Km 173.4, San German, PR 00683 Phone: 787-892-6972 |