NPI 1003242207

Yanisse Leonor Bonilla, PAC

Practitioner Medical Physician Assistant Miami, FL

Practice location

Address: 8940 N Kendall Dr STE 101e, Miami, FL 33176-2166
Phone: (305) 667-8686
Fax: (305) 667-8680
Mailing address: 15935 SW 90th Ave, Palmetto Bay, FL 33157-1923

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA 9107385 (FL)

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Registry record

NPI: 1003242207
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2013
Record last updated: 1 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.