Provider Demographics
NPI:1225999691
Name:FLORES-BONILLA, ADRIANA CAROLINA
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:CAROLINA
Last Name:FLORES-BONILLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2087
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-2087
Mailing Address - Country:US
Mailing Address - Phone:787-910-2426
Mailing Address - Fax:
Practice Address - Street 1:URB. LAS QUINTAS CALLE FINLANDIA 155
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-3512
Practice Address - Country:US
Practice Address - Phone:787-910-2426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8403103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist