Koby Hiram Bonilla Fernandez

NPI #1962965616 in Villalba, Puerto Rico

Provider Information

NPI Number: 1962965616
Entity Type: Individual
Name: Koby Hiram Bonilla Fernandez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 10, 2019
Last Updated: Apr 10, 2019

Practice Location

Address: URB. ALTURAS DEL ALBA
Address 2: C. ATARDECER 10916
City: Villalba
State: Puerto Rico
ZIP Code: 00766
Phone: (939) 451-9776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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