Active NPIIndividual provider

Dr. Iris N Bonilla, DENTIST

Dentist in Carolina, Puerto Rico

NPI Number1154394633
Practice location
89 Carolina CT, Carolina, PR 00982-3500
Fax
787-760-0574
Last updated
July 8, 2007

Iris Nereida Bonilla is a Dentist based in Carolina, PR. Iris Nereida Bonilla practices in Carolina, PR and has the professional credentials of DENTIST. The NPI Number for Iris Nereida Bonilla is 1154394633 and holds a License No. 1198 (PR). The current practice location address for Iris Nereida Bonilla is 89 Carolina CT, Carolina, PR 00982-3500 and can be reached out via phone at 787-757-0548 and via fax at 787-760-0574.

Provider Profile Details

NPI Number
1154394633
Provider Name
Iris Nereida Bonilla
Credential
DENTIST
Provider Entity Type
Individual
Gender
Female
Address
89 Carolina CT, Carolina, PR 00982-3500
Phone Number
787-757-0548
Fax Number
787-760-0574
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
February 7, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
89 Carolina CT
Carolina, PR 00982-3500
Zip
00982-3500
Phone Number
787-757-0548
Fax Number
787-760-0574
Carolina, PR 00982Get directions →

Provider Business Mailing Address Details

Address
Calle 220 4Q42 Colinas De Fair View
San Juan, PR 00976
City
San Juan
State
PR
Zip
00976
Phone Number
787-760-0574
Fax Number
787-760-0574

License Information

License Number
1198
License State
PR
Taxonomy
Dentist · 122300000X · 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. Iris N Bonilla, DENTIST?

The NPI number of Dr. Iris N Bonilla, DENTIST is 1154394633. It was assigned on February 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Iris N Bonilla, DENTIST?

Dr. Iris N Bonilla, DENTIST is registered under the primary taxonomy Dentist (code 122300000X), licensed in PR under license number 1198.

Where does Dr. Iris N Bonilla, DENTIST practice?

The practice location is 89 Carolina CT, Carolina, PR 00982-3500. The office can be reached at 787-757-0548 (phone) or 787-760-0574 (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 1154394633 directly on the NPPES registry website.

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