Healthcare Provider Details

I. General information

NPI: 1881671519
Provider Name (Legal Business Name): ARMANDO L BONNET-MERCIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2005
Last Update Date: 02/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 JC BORBON STREET SUITE 67-317
GUAYNABO PR
00969-5375
US

IV. Provider business mailing address

35 JC BORBON STREET SUITE 67-317
GUAYNABO PR
00969-5375
US

V. Phone/Fax

Practice location:
  • Phone: 787-604-5792
  • Fax:
Mailing address:
  • Phone: 787-604-5792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number012803
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number012803
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: