| Jorge L Bonilla Mendez | |
|
167 Calle Ramos Antonini E Mayaguez PR 00680-5039 | |
| (787) 464-4559 | |
| Not Available |
| Full Name | Jorge L Bonilla Mendez |
|---|---|
| Speciality | Internal Medicine |
| Location | 167 Calle Ramos Antonini E, Mayaguez, Puerto Rico |
| Authorized Official Name and Position | Jorge Bonilla (PRESIDENT) |
| Authorized Official Contact | 7874644559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge L Bonilla Mendez Po Box 4223 Mayaguez PR 00681-4223 Ph: (787) 464-4559 | Jorge L Bonilla Mendez 167 Calle Ramos Antonini E Mayaguez PR 00680-5039 Ph: (787) 464-4559 |
| NPI Number | 1568700664 |
|---|---|
| Provider Enumeration Date | 01/24/2013 |
| Last Update Date | 01/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568700664 | NPI | - | NPPES |
| 18209 | Other | PR | MEDICAL LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18209 (Puerto Rico) | Primary |
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