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MR. EDUARDO BONILLA INTERN
NPI 1811587645
Student in an Organized Health Care Education/Training Program in Saint George, UT

Active since January 25, 2021
474 W 200 N, SAINT GEORGE, UT 84770(435) 634-5600 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Eduardo Bonilla Intern NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDUARDO BONILLA INTERN (NPI 1811587645) is an individual student in an organized health care education/training program in Saint George, Utah and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1811587645
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. EDUARDO BONILLACredential: INTERN
Location Address474 W 200 NSaint George, UT 84770-4505
Mailing Address130 Essex St # 34aSouth Hamilton, MA 01982-2395 · (419) 908-6784
Phone(435) 634-5600
Sole ProprietorNo
Enumeration DateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1811587645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
474 W 200 N, Saint George, UT 84770
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL JESSE EVES
Case Manager/Care Coordinator
474 W 200 N
SAINT GEORGE, UT 84770
Washington County (435) 634-5600
AIMEE KAY CHRISTINE ADAMS
Technician, Other
474 W 200 N
ST GEORGE, UT 84770
Washington County (435) 634-5600
JOSIE ETHINGTON
Substance Abuse Rehabilitation Facility
474 W 200 N
ST GEORGE, UT 84770
Washington County (435) 634-5600
PAIGE CHANTELL STEVENSON
Technician, Other
474 W 200 N
SAINT GEORGE, UT 84770
Washington County (435) 634-5672
VIOLET THERESA FANO
Case Manager/Care Coordinator
474 W 200 N
ST GEORGE, UT 84770
Washington County (435) 634-5600
KARYN BURTON
Technician, Other
474 W 200 N, SUITE 100
ST. GEORGE, UT 84770
Washington County (435) 634-5600
BLAINE LADD
Technician, Other
474 W 200 N
SAINT GEORGE, UT 84770
Washington County (435) 634-5660
JO ANN M DIETZEL
Technician, Other
474 W 200 N, STE#300
ST GEORGE, UT 84770
Washington County (435) 634-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eduardo Bonilla's NPI number?

The NPI number for Eduardo Bonilla is 1811587645. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Where is Eduardo Bonilla located?

Eduardo Bonilla practices at 474 W 200 N, Saint George, UT 84770. The listed phone number is (435) 634-5600.

What is Eduardo Bonilla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Eduardo Bonilla was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.