MRS. Idalia Bonilla, LCDA

NPI #1043296387 in Villalba, Puerto Rico

Provider Information

NPI Number: 1043296387
Entity Type: Individual
Name: MRS. Idalia Bonilla, LCDA
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pharmacist
Credential: LCDA
Enumeration Date: Dec 19, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: CARR 149 KM 58.1BARRIO TIERRA SANTA
City: Villalba
State: Puerto Rico
ZIP Code: 00766
Phone: (787) 847-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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