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NPI Profile for GLADYMAR BONILLA DIAZ in RIO GRANDE, PR.
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist/Technologist, Other |
246Z00000X |
| NPI # | 1134575111 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 05/10/2016 | |
| Last updated | 05/10/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GLADYMAR BONILLA DIAZ
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GLADYMAR BONILLA DIAZ, MD