Provider Demographics
NPI:1154705101
Name:BROTONEL, HONEYLETTE MOJICA (MD)
Entity type:Individual
Prefix:
First Name:HONEYLETTE
Middle Name:MOJICA
Last Name:BROTONEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 MEDICAL CENTER DR STE 102
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:NV
Mailing Address - Zip Code:89403-7460
Mailing Address - Country:US
Mailing Address - Phone:775-445-7630
Mailing Address - Fax:775-687-8457
Practice Address - Street 1:901 MEDICAL CENTER DR STE 102
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:NV
Practice Address - Zip Code:89403
Practice Address - Country:US
Practice Address - Phone:745-445-7630
Practice Address - Fax:775-687-8457
Is Sole Proprietor?:No
Enumeration Date:2015-07-18
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18107207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine