Individual provider · Type 1 NPI

Yanisse Leonor Bonilla, PA-C

Medical Physician Assistant · Miami, FL

NPI number 1003242207 Active

Practice location

8940 N Kendall Dr Ste 101E
Miami, FL 33176-2166

Fax (305) 667-8680

Mailing address

15935 SW 90th Ave
Palmetto Bay, FL 33157-1923

Other practice locations

  • 11760 Bird Rd Ste 610, Miami, FL 33175-8105 · (305) 667-8686
  • 8905 SW 87th Ave, Miami, FL 33176-2227 · (305) 667-8686

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 9107385 (FL)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1003242207

Yanisse Leonor Bonilla, PA-C's National Provider Identifier is 1003242207, issued on Sep 19, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Miami, FL. The record was last updated on Mar 1, 2023.