Active NPIIndividual providerSole proprietor

Gladymar Bonilla Diaz, MD

Specialist/Technologist, Other in Rio Grande, Puerto Rico

NPI Number1134575111
Practice location
A-13 Calle 1, Urb Rio Grande Estate, Rio Grande, PR 00745
Fax
—
Last updated
May 10, 2016

Gladymar Bonilla Diaz is a Specialist/Technologist, Other based in Rio Grande, PR. Gladymar Bonilla Diaz practices in Rio Grande, PR and has the professional credentials of MD. The NPI Number for Gladymar Bonilla Diaz is 1134575111 and holds a License No. 004651 (PR). The current practice location address for Gladymar Bonilla Diaz is A-13 Calle 1, Urb Rio Grande Estate, Rio Grande, PR 00745 and can be reached out via phone at 787-647-0729.

Provider Profile Details

NPI Number
1134575111
Provider Name
Gladymar Bonilla Diaz
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
A-13 Calle 1, Urb Rio Grande Estate, Rio Grande, PR 00745
Phone Number
787-647-0729
Primary Taxonomy
Specialist/Technologist, Other · 246Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 10, 2016
Last Update Date
May 10, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
A-13 Calle 1
Urb Rio Grande Estate
Rio Grande, PR 00745
Zip
00745
Phone Number
787-647-0729
Rio Grande, PR 00745Get directions →

Provider Business Mailing Address Details

Address
A-13 Calle 1
Urb Rio Grande Estate
Rio Grande, PR 00745
City
Rio Grande
State
PR
Zip
00745

License Information

License Number
004651
License State
PR
Taxonomy
Specialist/Technologist, Other · 246Z00000X · 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 Gladymar Bonilla Diaz, MD?

The NPI number of Gladymar Bonilla Diaz, MD is 1134575111. It was assigned on May 10, 2016 and is currently active in the NPPES registry.

What is the specialty of Gladymar Bonilla Diaz, MD?

Gladymar Bonilla Diaz, MD is registered under the primary taxonomy Specialist/Technologist, Other (code 246Z00000X), licensed in PR under license number 004651.

Where does Gladymar Bonilla Diaz, MD practice?

The practice location is A-13 Calle 1, Urb Rio Grande Estate, Rio Grande, PR 00745. The office can be reached at 787-647-0729 (phone).

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 1134575111 directly on the NPPES registry website.

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