Organization
BIENESTAR PHARMACY 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
CARR 718 KM 1.1, BO PASTO, SECT. LA PLAYITA, AIBONITO, PR 00705
(787) 303-0799
(787) 333-6188
Mailing address
EDIFICIO CENTRAL, CALLE BALDORIOTY 165 NORTE BUZON #2, AIBONITO, PR 00705
(939) 545-0524
(939) 545-0700
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039073300
—
PR
Enumeration date
03/02/2020
Last updated
04/13/2022
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