Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Roberto Bonilla Gallegos

Individual provider Case Manager/Care Coordinator · NPI 1407414295

Roberto Bonilla Gallegos is a Case Manager/Care Coordinator in Konawa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

527 W 3rd St
Konawa, OK 74849-1415
Phone: (580) 925-3286
Fax: (580) 925-9149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1407414295
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 5, 2019
Last updated in NPPESJune 5, 2019

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