Provider Demographics
NPI:1194303057
Name:TRAVERSO-BONILLA, DAILIS Y (DC)
Entity type:Individual
Prefix:DR
First Name:DAILIS
Middle Name:Y
Last Name:TRAVERSO-BONILLA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 AVE DEL ESPIRITU SANTO
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3004
Mailing Address - Country:US
Mailing Address - Phone:787-414-8251
Mailing Address - Fax:
Practice Address - Street 1:111 BLVD PIEL CANELA
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-3502
Practice Address - Country:US
Practice Address - Phone:787-238-6030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR842111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor