1003664137 NPI number — BIENESTAR HEALTHCARE CLINIC LLC

Table of content: (NPI 1003664137)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003664137 NPI number — BIENESTAR HEALTHCARE CLINIC LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BIENESTAR HEALTHCARE CLINIC LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003664137
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/13/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 459
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RIO BLANCO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00744-0459
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MANSIONES DEL CARIBE
Provider Second Line Business Practice Location Address:
193 AQUIAMARINA G-04
Provider Business Practice Location Address City Name:
HUMACAO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00791-3310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-692-8203
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/13/2024

Additional Information

Authorized Official

Authorized Official Last Name:
JIMENEZ CABAN
Authorized Official First Name:
JOSE
Authorized Official Middle Name:
R
Authorized Official Title or Position:
MEDICO
Authorized Official Telephone Number:
787-692-8203

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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