Organization
BIENESTAR HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE R DE TERREFORTE-DIAZ MD, MPH (CHIEF EXECUTIVE OFFICER)
(939) 545-0522
Entity
Organization
Contact information
Practice address
CALLE BALDORIOTY 165 NORTE, BUZON #2, BARRIO LLANOS, AIBONITO, PR 00705
(939) 545-0522
(939) 545-0700
Mailing address
CALLE BALDORIOTY 165 NORTE, BUZON #2, BARRIO LLANOS, AIBONITO, PR 00705
(939) 545-0522
(939) 545-0700
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
12/26/2019
Last updated
10/07/2021
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