MEDICARE: DR. DAILIS Y TRAVERSO-BONILLA DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	842	PR

General Provider Information

NPI Number	:	1194303057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAILIS Y TRAVERSO-BONILLA DC

Provider Business Mailing Address
First Line	:	100 AVE DEL ESPIRITU SANTO
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-3004
Country	:	US
Telephone Number	:	787-414-8251
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 BLVD PIEL CANELA
Second Line	:
City	:	COAMO
State	:	PR
Zip	:	00769-3502
Country	:	US
Telephone Number	:	787-238-6030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2021
Last Update Date	:	12/02/2025

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