Individual provider · Type 1 NPI

Alyssa Bonilla

Student in an Organized Health Care Education/Training Program · Canutillo, TX

NPI number 1649150863 Active

Practice location

612 Gold Beach Dr
Canutillo, TX 79835-8633

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649150863

Alyssa Bonilla's National Provider Identifier is 1649150863, issued on Sep 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Canutillo, TX. The record was last updated on Sep 8, 2025.