Gladymar Bonilla Diaz, M.D

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

004651 Issued in PR

Practice address

A-13 Calle 1
Urb Rio Grande Estate
Rio Grande, PR 00745

Phone

(787) 647-0729

NPI assigned

May 10, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1134575111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A-13 CALLE 1",
            "address_2": "URB RIO GRANDE ESTATE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A-13 CALLE 1",
            "address_2": "URB RIO GRANDE ESTATE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-647-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA DIAZ",
        "first_name": "GLADYMAR",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "PR",
            "license": "004651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiomara Bermudez, TEC DE FARMACIA
• Yamilette Berrios Mota, PHD.
• Alma I Berrios Suarez, MD
• Nitza M Bertran, DOCTORATE
• Bio-Medical Applications of Puerto Rico, Inc.
• Mayra E. Brea Perez, M.D.
• Marta Brito Hernandez
• Elismarie Calero, MS-SLP
• Annmarie Calzada Ortiz
• Caparra Cardiology and Electrophisiology Center PSC

• Other Specialist/Technologist in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Other Specialist/Technologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.