Dr Gabriel L Bonilla, MD | |
2526 W Rancho Laredo Dr, Phoenix, AZ 85085-7168 | |
(928) 600-6762 | |
Not Available |
Full Name | Dr Gabriel L Bonilla |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 2526 W Rancho Laredo Dr, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023080744 | NPI | - | NPPES |
862913 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 32912 (Arizona) | Primary |
Entity Name | Bella Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386065183 PECOS PAC ID: 8426274978 Enrollment ID: O20140718002012 |
Entity Name | Rhad Health Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780339721 PECOS PAC ID: 4789070350 Enrollment ID: O20220407000680 |
Mailing Address | Practice Location Address |
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Dr Gabriel L Bonilla, MD 2526 W Rancho Laredo Dr, Phoenix, AZ 85085-7168 Ph: (928) 600-6762 | Dr Gabriel L Bonilla, MD 2526 W Rancho Laredo Dr, Phoenix, AZ 85085-7168 Ph: (928) 600-6762 |
Samantha Arrow, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2627 N 3rd St Ste 203, Phoenix, AZ 85004 Phone: 602-834-8341 Fax: 844-693-0491 | |
Dr. Brent Michael Page, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3700 N 24th St Ste 210, Phoenix, AZ 85016 Phone: 602-840-0681 Fax: 602-957-1570 | |
Morgan Marie Loss, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014 Phone: 602-393-0520 | |
Schae Mcleod, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014 Phone: 602-393-0520 | |
Vivek Mukur Mehta, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2222 E Highland Ave, Suite 300, Phoenix, AZ 85016 Phone: 602-277-6211 Fax: 866-242-5309 | |
Daniel Anthony Stirparo, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1314 N 3rd St Apt 1109, Phoenix, AZ 85004 Phone: 302-353-7015 |