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General NPI Number Information
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NPI Number | 1336123322
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Entity Type | Organization
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Legal Business Name | EMPRESAS BONILLA COLON INC
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | CARR 149 KM 56.7 SECTOR TIERRA SANTA
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City | VILLALBA
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State | PR
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Zip | 00766-3401
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Country | US
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Telephone | 787-847-8600
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Fax | 787-847-3336
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Provider Business Mailing Address
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Address Line | PO BOX 1542
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City | VILLALBA
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State | PR
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Zip | 00766-1542
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Country | US
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Telephone | 787-847-8600
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Fax | 787-847-3336
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. IDALIA BONILLA
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Credential |
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Telephone | 787-847-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5559900001
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 19-F-2315
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License Number State | PR
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