Provider Demographics
NPI:1043254642
Name:SANCHEZ-BONILLA, MARIA M (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:M
Last Name:SANCHEZ-BONILLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 DE DIEGO AVE, SAN JUAN HEALTH CENTRE
Mailing Address - Street 2:SUITE 705
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00907-2318
Mailing Address - Country:US
Mailing Address - Phone:787-724-8667
Mailing Address - Fax:787-722-1950
Practice Address - Street 1:150 AVE DE DIEGO
Practice Address - Street 2:SUITE 705
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00907-2300
Practice Address - Country:US
Practice Address - Phone:787-724-8667
Practice Address - Fax:787-722-1950
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR117032084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRBS4416079OtherDEA NUMBER
PRG41640Medicare UPIN
PRBS4416079OtherDEA NUMBER