Active NPIIndividual providerSole proprietor

Dr. Jorge L Bonilla Davila, OD

Optometrist in Ponce, Puerto Rico

NPI Number1053303289
Practice location
2053 Ponce By Pass, Suite 104, Ponce, PR 00717-1306
Fax
787-848-4496
Last updated
January 26, 2017

Jorge L. Bonilla Davila is an Optometrist based in Ponce, PR. Jorge L. Bonilla Davila practices in Ponce, PR and has the professional credentials of OD. The NPI Number for Jorge L. Bonilla Davila is 1053303289 and holds a License No. 149 (PR). The current practice location address for Jorge L. Bonilla Davila is 2053 Ponce By Pass, Suite 104, Ponce, PR 00717-1306 and can be reached out via phone at 787-848-2885 and via fax at 787-848-4496.

Provider Profile Details

NPI Number
1053303289
Provider Name
Jorge L. Bonilla Davila
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
2053 Ponce By Pass, Suite 104, Ponce, PR 00717-1306
Phone Number
787-848-2885
Fax Number
787-848-4496
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 15, 2005
Last Update Date
January 26, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
2053 Ponce By Pass
Suite 104
Ponce, PR 00717-1306
City
Ponce
Zip
00717-1306
Phone Number
787-848-2885
Fax Number
787-848-4496
Ponce, PR 00717Get directions →

Provider Business Mailing Address Details

Address
2053 Ponce By Pass
Suite 104
Ponce, PR 00717-1306
City
Ponce
State
PR
Zip
00717-1306
Phone Number
787-848-2885
Fax Number
787-848-4496

License Information

License Number
149
License State
PR
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jorge L Bonilla Davila, OD?

The NPI number of Dr. Jorge L Bonilla Davila, OD is 1053303289. It was assigned on August 15, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Jorge L Bonilla Davila, OD?

Dr. Jorge L Bonilla Davila, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PR under license number 149.

Where does Dr. Jorge L Bonilla Davila, OD practice?

The practice location is 2053 Ponce By Pass, Suite 104, Ponce, PR 00717-1306. The office can be reached at 787-848-2885 (phone) or 787-848-4496 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053303289 directly on the NPPES registry website.

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