Provider Demographics
NPI:1356385959
Name:BONET, NYDIA (MD)
Entity type:Individual
Prefix:DR
First Name:NYDIA
Middle Name:
Last Name:BONET
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:PO BOX 29134
Mailing Address - Street 2:PEDIATRIA RCM
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0134
Mailing Address - Country:US
Mailing Address - Phone:787-756-4020
Mailing Address - Fax:787-777-3227
Practice Address - Street 1:UNIVERSITY PEDIATRICS HOSPITAL DEPT OF PEDIATRICS
Practice Address - Street 2:OFFICE 1 A29 FIRST FLOOR
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-0001
Practice Address - Country:US
Practice Address - Phone:787-756-4020
Practice Address - Fax:787-777-3227
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR6283208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics