Provider Demographics
NPI:1134514755
Name:BONO AMINO, LLC
Entity Type:Organization
Organization Name:BONO AMINO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNULFO
Authorized Official - Middle Name:ANIVAL
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-287-9333
Mailing Address - Street 1:PO BOX 1046
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78540-1046
Mailing Address - Country:US
Mailing Address - Phone:956-287-9333
Mailing Address - Fax:956-383-6362
Practice Address - Street 1:424 E ROGERS RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78541-7887
Practice Address - Country:US
Practice Address - Phone:956-287-9333
Practice Address - Fax:956-383-6362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services