Dr. Gabriel L Bonilla
Physical Medicine & Rehabilitation Doctor
2526 W Rancho Laredo Dr
Phoenix
, Arizona 85085-7168
Dr. Gabriel L Bonilla
Physical Medicine & Rehabilitation Doctor
2526 W Rancho Laredo Dr
Phoenix
, Arizona 85085-7168
(928) 600-6762
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Gabriel L Bonilla
- 2526 W Rancho Laredo Dr
- Phoenix, AZ
- Zip : 85085-7168
- Phone : (928) 600-6762
Second Address
- Dr. Gabriel L Bonilla
- 2526 W Rancho Laredo Dr
- Phoenix, AZ
- Zip : 85085-7168
- Phone : (928) 600-6762
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 32912 | AZ |
National Provider Identifier
| NPI | 1023080744 |
|---|---|
| Provider Name | Dr. Gabriel L Bonilla |
| First Address | Phoenix, AZ 85085-7168 |
| Second Address | Phoenix, AZ 85085-7168 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2006 |
| Last Update Date | 01/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 862913 | (05) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.