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Organization

NUGEN LABS, LLC

Active
Parent organization
BIENESTAR HEALTH GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
BIENESTAR HEALTH GROUP
Authorized official
DR. JOSE DE TERREFORTE-DIAZ MD, MPH (CEO)
(939) 545-0522
Entity
Organization

Contact information

Practice address
EDIFICIO CENTRAL, CALLE BALDORIOTY 165 NORTE, BUZON #2, AIBONITO, PR 00705
(939) 545-0522
(939) 545-0700
Mailing address
EDIFICIO CENTRAL, CALLE BALDORIOTY 165 NORTE, BUZON #2, AIBONITO, PR 00705
(939) 545-0522
(939) 545-0700

Taxonomy

Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
05/05/2020
Last updated
05/14/2020
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