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Bonifacio Hernandez Lopez
NPI 1619319555 · on the registry since 2013
Practice
- Address
- 2203 N Raul Longoria Rd Ste B2
San Juan, TX 78589 - Phone
- (956) 314-1684
- Organisation at this address
- Rick Puente Insurance
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- ZZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-07-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas