Wilmarys Bonilla Benique

Individual provider Active NPI Medical Physician Assistant · Aguada, PR

NPI 1083331508 · NPPES record last updated Oct 25, 2022

Key facts

NPI
1083331508
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
Practice address
Carr 4417 KM 0.3 Interior
Aguada, PR 00602
Phone
(939) 865-1772
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Yes

Addresses

Primary practice location

Carr 4417 KM 0.3 Interior
Aguada, PR 00602

Mailing address

PO Box 1161
Aguada, PR 00602-1161
Phone (939) 865-1772

Other identifiers

IdentifierTypeStateIssuer
00603OtherMEDICO ASISTENTE

Other names

  • Wilmarys Bonilla Benique Former name

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL .

Other providers in Aguada, PR

All providers in Aguada, PR · Medical Physician Assistant in Puerto Rico

Sources for this page

Verify at the official NPI Registry.