Basic Information
| Provider Information | |||||||||
| NPI: | 1144286055 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BONILLA-FELIX | ||||||||
| FirstName: | MELVIN | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M. D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | POPPY B-4 | ||||||||
| Address2: | PARQUE FORESTAL | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00926 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877261113 | ||||||||
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| Practice Location | |||||||||
| Address1: | 252 CALLE CONVENTO | ||||||||
| Address2: | |||||||||
| City: | SANTURCE | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009123207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877261113 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/21/2006 | ||||||||
| LastUpdateDate: | 05/17/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0210X | 9477 | PR | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Nephrology |
No ID Information.