Bienestar Healthcare Clinic LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BIENESTAR HEALTHCARE CLINIC LLC

Practice address

Mansiones del Caribe
193 Aquiamarina G-04
Humacao, PR 00791-3310

Phone

(787) 692-8203

NPI assigned

May 13, 2024

Last updated

Jun 13, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jose R Jimenez Caban, MD

Title

Medico

Phone

(787) 692-8203

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Raul Jimenez, MD

  • General Practice Physician
  • Humacao, PR
  • NPI 1861137341
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1003664137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "RIO BLANCO",
            "state": "PR",
            "postal_code": "007440459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANSIONES DEL CARIBE",
            "address_2": "193 AQUIAMARINA G-04",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913310",
            "telephone_number": "787-692-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENESTAR HEALTHCARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ CABAN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICO",
        "authorized_official_telephone_number": "787-692-8203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Berrios
• Karelys Beltran Berrios, LATO
• Madeline Berrios
• Jose Juan Bertran Schuck, MD
• Better Sleep Centers of PR LLC
• Bio-Medical Applications of Humacao, Inc. (Bma Humacao)
• Ricardo Birriel Vega, MD
• Hilvia Elena Blanco
• Liz Arkadia Bonilla Leon, MHS
• Gretchen Marie Borges Leon, ND

• General Practice Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.