Whalio Doctors

NPI 1053303289

Jorge L. Bonilla Davila, OD

Practitioner Optometrist Ponce, PR

Practice location

Address
2053 Ponce By Pass Suite 104, Ponce, PR 00717-1306
Phone
(787) 848-2885
Fax
(787) 848-4496

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 149 (PR)

Registry record

NPI
1053303289
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Aug 2005
Record last updated
26 Jan 2017

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.