DR. DIANNE M CARRASQUILLO BONILA


Address: Centro Medico De Puerto Rico, Bo Monacillos Carr 22, Rio Piedras, PR 00976
Phone: 7877657950

DR. DIANNE M CARRASQUILLO BONILA (NPI# 1619324746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619324746
Entity Type Individual
Full Name DR. DIANNE M CARRASQUILLO BONILA
Credential MD
Practice Address Centro Medico De Puerto Rico
Bo Monacillos Carr 22
Rio Piedras
PR 00976
Mailing Address 4q42 Calle 220
Colinas De Fairview
Trujillo Alto
PR 00976-8228
Practice Telephone 7877657950
Mailing Telephone 7874051271
Enumeration Date 2016-05-18
Last Update Date 2018-07-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 19747 PR Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4q42 Calle 220, Trujillo Alto, PR 009768228 7874051271

Office Location

Street Address CENTRO MEDICO DE PUERTO RICO
BO MONACILLOS CARR 22
City RIO PIEDRAS
State PR
Zip Code 00976

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164047742 Fiorella Rodriguez Rivera General Practice Carr. 844 Km 0.5, Cupey Bajo, Rio Piedras, PR 00928 2020-06-10
1538626940 Jessica Cotto Rosado General Practice State Road 877 Km 1.6, Camino Las Lomas, Rio Piedras, PR 00926 2019-02-22
1326530759 Natalia M Quinones Herrero General Practice Bo. Monacillo 150, Ave. Americo Miranda, Rio Piedras, PR 00935 2018-06-01
1780119727 Guillermo Atilio Pinelo General Practice Carr 844 Km 0.5, Cupey Bajo, Rio Piedras, PR 00928 2017-04-27
1962812115 Mayra Jimenez Rivera General Practice State Rd 877 Km 1.6 Cam Las Lomas Capuccino, Rio Piedras, PR 00926 2014-04-28
1659628089 Francisco Jose Carreras-miranda General Practice Calle 1, C-16, Villas Del Pilar, Rio Piedras, PR 00926 2012-08-03
1790057776 Phisician Hmo Inc. General Practice Calle Pinero # 1 Esq. Vallejo, Rio Piedras, PR 00920 2012-02-06
1922379718 Physician Hmo Inc. General Practice Calle Pinero Num 1 Esq Vallejo, Rio Piedras, PR 00921 2012-01-25
1528386190 Las Lomas Medical Group Csp General Practice Carretera 21 U3 -3, Rio Piedras, PR 00921-0000 2010-05-06
1467692723 Marcos A Farinacci Mercado General Practice D12 Catedral, Paseo San Juan, Rio Piedras, PR 00926-0000 2009-02-26
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Competitor

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City RIO PIEDRAS
Zip Code 00976

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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