Organization
BIENESTAR HEALTH PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE DE TERREFORTE-DIAZ MD, MPH (CHIEF EXECUTIVE OFFICER)
(939) 545-0522
Entity
Organization
Contact information
Practice address
CALLE BALDORIOTY 165 NORTE, BUZON #2, AIBONITO, PR 00705
(939) 545-0522
(939) 545-0700
Mailing address
16850 COLLINS AVE STE 112662, SUNNY ISLES BEACH, FL 33160-4238
(305) 690-4070
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
02/28/2020
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