MR. JOHN MARK CARLOS BONAGUA AGNP NPI 1477077535

NPI Information

MR. John Mark Carlos Bonagua, AGNP is an adult health nurse practitioner in Bronx, NY with 8 years of experience. MR. John Mark Carlos Bonagua, AGNP NPI is 1477077535. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

612 ALLERTON AVE
BRONX, NY
ZIP 10467-404
Phone: (718) 519-4029

The NPI 1477077535 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2017 and was last updated on 9/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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