Healthcare Provider Details

I. General information

NPI: 1619812518
Provider Name (Legal Business Name): KALIMARIE BONILLA PIETRI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

C10 CALLE 2
CATANO PR
00962-5919
US

IV. Provider business mailing address

C10 CALLE 2
CATANO PR
00962-5919
US

V. Phone/Fax

Practice location:
  • Phone: 787-426-2244
  • Fax:
Mailing address:
  • Phone: 787-426-2244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number2020-2027
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number5000-3352257
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: