Organization
BIENVIVIR SENIOR HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOAQUIN GARCIA (CFO)
(915) 562-3444
Entity
Organization
Contact information
Practice address
2300 MCKINLEY AVE, EL PASO, TX 79930-2240
(915) 562-3444
(915) 834-3740
Mailing address
2300 MCKINLEY AVE, EL PASO, TX 79930-2240
(915) 562-3444
(915) 834-3740
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
000999817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000999817
—
TX
Enumeration date
02/05/2007
Last updated
12/07/2012
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