Individual provider Active NPI

Marilyn Dumont Bonilla

  • Pharmacy Technician
  • San Sebastian, PR
National Provider Identifier
1679763619
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
03404 Issued in PR
Practice address
Calle Jose Mendez Cardona #3
Calle Jose Mendez Cardona #3
San Sebastian, PR 00685-0409
Phone
(787) 896-1850
NPI assigned
Jul 26, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 03404 PR Primary

Addresses

Primary practice location

Calle Jose Mendez Cardona #3
Calle Jose Mendez Cardona #3
San Sebastian, PR 00685-0409

Mailing address

PO Box 409
Apartado 409
San Sebastian, PR 00685-0409
Phone (787) 519-4360

Other identifiers 1

IdentifierTypeStateIssuer
03404OtherPRLICENCIA TECNICA DE FARMA

Other names 1

  • Marilyn Dumont Bonilla Other name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03404PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1679763619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409",
            "address_2": "APARTADO 409",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850409",
            "telephone_number": "787-519-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JOSE MENDEZ CARDONA #3",
            "address_2": "CALLE JOSE MENDEZ CARDONA #3",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850409",
            "telephone_number": "787-896-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMONT BONILLA",
        "first_name": "MARILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "03404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA TECNICA DE FARMA",
            "identifier": "03404",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "DUMONT BONILLA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.