National Provider Identifier Database

GLADYMAR BONILLA DIAZ, MD – NPI #1134575111
Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.


Contact Information

GLADYMAR BONILLA DIAZ, MD
A-13 CALLE 1
URB RIO GRANDE ESTATE
RIO GRANDE, PR00745
Phone: 787-647-0729
Fax:
Website:
Specialty Taxonomy Code
* Specialist/Technologist, Other 246Z00000X

* Indicates primary specialty

NPI Profile & details for GLADYMAR BONILLA DIAZ

NPI Number 1134575111
Credentials MD
Entity Individual
Enumeration date 05/10/2016
Last updated 05/10/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers
  • PR License #: 004651
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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