Individual provider · Type 1 NPI

Gladymar Bonilla Diaz, MD

Other Specialist/Technologist · Rio Grande, PR

NPI number 1134575111 Active

Practice location

A-13 Calle 1, Urb Rio Grande Estate
Rio Grande, PR 00745

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000X004651 (PR)

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

About NPI 1134575111

Gladymar Bonilla Diaz, MD's National Provider Identifier is 1134575111, issued on May 10, 2016. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Rio Grande, PR. The record was last updated on May 10, 2016.