Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | BP10053915 | TX |
N | 111NI0900X | Internist | BP10053915 | TX |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 69149 | MN |
NPI | 1861876567 |
---|---|
Provider Name | Dr. Hilda Mariana Gonzalez Bonilla |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2015 |
Last Update Date | 30/06/2021 |