Organization Active NPI

Bienestar Pharmacy Group

Doing business as New Lyfe Pharmacy

  • Community/Retail Pharmacy
  • Aibonito, PR
National Provider Identifier
1225784143
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BIENESTAR PHARMACY GROUP
Doing business as
New Lyfe Pharmacy
Practice address
Carr 718, KM. 1.1
Bo Pasto
Aibonito, PR 00705
Phone
(787) 303-0799
Fax
(787) 333-6188
NPI assigned
Mar 1, 2022
Last updated
Mar 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
BIENESTAR PHARMACY GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Dr. Jose Ramon Rodriguez-Diaz, MD, MPH
Title
Ceo
Phone
(939) 545-0522

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

Carr 718, KM. 1.1
Bo Pasto
Aibonito, PR 00705

Mailing address

165 Calle Baldrioty Norte
Buzon #2
Aibonito, PR 00705
Phone (939) 545-0522

Other identifiers 1

IdentifierTypeStateIssuer
MG909OtherMEDICARE

Other names 1

  • NEW LYFE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Part of
Bienestar Pharmacy Group

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1225784143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CALLE BALDRIOTY NORTE",
            "address_2": "BUZON #2",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "939-545-0522",
            "fax_number": "939-545-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 718, KM. 1.1",
            "address_2": "BO PASTO",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-303-0799",
            "fax_number": "787-333-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENESTAR PHARMACY GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIENESTAR PHARMACY GROUP",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-DIAZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "939-545-0522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MG909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW LYFE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aibonito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.