Provider Demographics
NPI:1477536670
Name:SOLER-BONILLA, MICHAEL F (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:F
Last Name:SOLER-BONILLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1700 CALLE SANTA AGUEDA
Mailing Address - Street 2:URB SAN GERARDO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4312
Mailing Address - Country:US
Mailing Address - Phone:787-754-1059
Mailing Address - Fax:787-754-1059
Practice Address - Street 1:CALLE SANTA AGUEDA 1700
Practice Address - Street 2:URB SAN GERARDO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-754-1059
Practice Address - Fax:787-754-1059
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR13153208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice