Most Relevant Information
Provider Data
| NPI Number: | 1003242207 |
| Provider Name: | YANISSE LEONOR BONILLA PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | PA 9107385 |
Most Important Dates
| Enumeration Date: | 09/19/2013 |
| Last Updated: | 03/01/2023 |
Provider Practice Location
8940 N KENDALL DR STE 101E
MIAMI
FL
331762166
Practice Location Phone/Fax
| Phone: | 3056678686 |
| Fax: | 3056678680 |
Provider Mailing Location
15935 SW 90TH AVE
PALMETTO BAY
FL
331571923
Provider Mailing Phone/Fax
| Phone: | 7862263539 |
| Fax: |