Active NPI
Bienestar Pharmacy Group
Doing business as New Lyfe Pharmacy
- Community/Retail Pharmacy
- Aibonito, PR
National Provider Identifier
1225784143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2022
- Organization subpart
- Yes
- Parent organization
- BIENESTAR PHARMACY GROUP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MG909 | Other | MEDICARE |
Other names 1
- NEW LYFE PHARMACY
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.
-
- Community/Retail Pharmacy
- Aibonito, PR
- NPI 1770117509
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
- Maria M. Berrios, CPL
- Bethel Ambulance Inc
- Bienestar Health Group (Bienestar Medical Group)
- Bienestar Health Group
- Bienestar Health Partners, LLC
- Bienestar Pharmacy Group
- Bio-Medical Applications of Puerto Rico, Inc. (Fresenius Kidney Care Aibonito)
- Biomolecular Personal Cancer Center LLC
- Francisco J Blanes Mayans, MD
- Maria Fernanda Bonilla Gutierrez
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.