Provider Demographics
NPI:1588445654
Name:BONILLA TRANSPORT SERVICES INC.
Entity type:Organization
Organization Name:BONILLA TRANSPORT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:BONILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-484-9291
Mailing Address - Street 1:HC 56 BOX 4359
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-8606
Mailing Address - Country:US
Mailing Address - Phone:787-484-9291
Mailing Address - Fax:939-291-0071
Practice Address - Street 1:CARR 416 KM 5.2 BO PIEDRAS BLANCAS
Practice Address - Street 2:SECTOR LA MINA
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:787-484-9291
Practice Address - Fax:939-291-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance