Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARICELA BONILLA, O.D.
ActiveMARICELA BONILLA, O.D. is a Optometrist healthcare provider located in DULCE, New Mexico. NPI 1265460851 is currently active in the NPPES registry. Verify at CMS.
Optometrist · DULCE, NM
Registration Details
- NPI Number
- 1265460851
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 30, 2006 (19.93922177353 yrs)
- Last Updated
- Feb 29, 2012
- License
-
2334 (CO)
Practice Information
- Address
-
500 NORTH MUNDODULCE, NM, 875280187Browse NM providers · Browse ZIP 87528
- Phone
- 5757597281
- Fax
- 5757593651
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in DULCE, NM
| Name | Credential | NPI |
|---|---|---|
| KELLY RAE PETTIGREW | OPTICIAN LICENSE FL | 1164917373 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.