Edwin Bonilla Gonzalez, MD | |
39 Calle Munoz Rivera, Calle Munoz Rivera 39, Aguas Buenas, PR 00703-3233 | |
(787) 732-7424 | |
(787) 732-7424 |
Full Name | Edwin Bonilla Gonzalez |
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Gender | Male |
Speciality | General Practice |
Location | 39 Calle Munoz Rivera, Aguas Buenas, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1407854649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 11614 (Puerto Rico) | Primary |
Entity Name | Millenium Medical Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710197686 PECOS PAC ID: 6800142548 Enrollment ID: O20180710003158 |
Mailing Address | Practice Location Address |
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Edwin Bonilla Gonzalez, MD Po Box 4952, Po Box 4952, Caguas, PR 00726-4952 Ph: (787) 732-7424 | Edwin Bonilla Gonzalez, MD 39 Calle Munoz Rivera, Calle Munoz Rivera 39, Aguas Buenas, PR 00703-3233 Ph: (787) 732-7424 |
Jorge Emmanuel Del Valle Reyes, MD General Practice Medicare: Medicare Enrolled Practice Location: 39 Calle Rafael Lasa, Aguas Buenas, PR 00703 Phone: 787-924-7575 | |
Alfredo Gonzalez Gomez, MD General Practice Medicare: Medicare Enrolled Practice Location: 5 Calle Albizu Campos, Aguas Buenas, PR 00703 Phone: 787-732-8595 | |
Yadira I Buxo Diaz, MD General Practice Medicare: Medicare Enrolled Practice Location: Road 173 Km 21.1, Aguas Buenas, PR 00703 Phone: 787-732-4956 | |
Ana I Negron Rosario, MD General Practice Medicare: Medicare Enrolled Practice Location: Calle Padre Sercus #9, Aguas Buenas, PR 00703 Phone: 787-732-1306 Fax: 787-732-1306 | |
Dr. Jose Alfredo Toro Ii, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 4 Calle Rafael Lasa, Aguas Buenas, PR 00703 Phone: 787-732-7733 Fax: 787-732-7733 | |
Moldavia O. Tavarez Gonzalez, MD General Practice Medicare: Medicare Enrolled Practice Location: 5 Calle Albizu Campos, Aguas Buenas, PR 00703 Phone: 787-732-8595 |