Marlene Bonilla Alicea

DPM | Podiatrist | 19+ years Exp


  
6625 Lyndale Ave S Ste 105, Richfield
Minnesota, 55423-2673

 612-788-8778   Maps & Directions
Marlene Bonilla Alicea is a Richfield, Minnesota based female podiatrist with 19 years of experience in Podiatry. She completed her graduation from New York College Of Podiatric Medicine in 2005. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Marlene Bonilla Alicea for Podiatry is 1016 in Minnesota.
Marlene Bonilla Alicea is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. She diagnose and treat foot diseases and deformities. She can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Marlene Bonilla Alicea speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Podiatrist
Credentials: DPM
Experience: 19+ years
Medical School Attended:New York College Of Podiatric Medicine
Graduation Year:2005
Gender:Female
Accepts Medicare Assignment:Yes
Practice Address:6625 Lyndale Ave S Ste 105, Richfield,
Minnesota, 55423-2673
Phone:612-788-8778
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 9436316817
Enrollment ID: I20190613000730
NPI Number: 1588856546
NPI Enumeration Date: 14 Aug, 2007
NPI Last Update On: 12 Apr, 2023

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marlene Bonilla Alicea are as mentioned below.
License NumberSpecializationStateStatus
1016Podiatry MinnesotaPrimary
N006419-1Podiatry New YorkSecondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Marlene Bonilla Alicea is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Ltc Professionals Pllc (7911181029)9
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 6625 Lyndale Ave S Ste 300,
Richfield, Minnesota
Zip: 55423-2491
Phone Number: 612-788-8778
Fax Number: 612-869-3473
Patients can reach Marlene Bonilla Alicea at 6625 Lyndale Ave S Ste 105, Richfield, Minnesota or can call to book an appointment on 612-788-8778. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.

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