Organization
BIENESTAR HEALTHCARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE R JIMENEZ CABAN MD (MEDICO)
(787) 692-8203
Entity
Organization
Contact information
Practice address
MANSIONES DEL CARIBE, 193 AQUIAMARINA G-04, HUMACAO, PR 00791-3310
(787) 692-8203
Mailing address
PO BOX 459, RIO BLANCO, PR 00744-0459
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
06/13/2024
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