Organization Active NPI

Bienestar Inc.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • San Antonio, TX
National Provider Identifier
1255802278
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
BIENESTAR INC.
Practice address
11503 Jones Maltsberger Rd Ste 1106
San Antonio, TX 78216-2630
Phone
(210) 344-5651
Fax
(210) 547-7902
NPI assigned
Dec 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Ms. Eunice Advincula, CREDENTIALING DEPT.
Title
Credentialing
Phone
(562) 403-4422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084A0401X Primary

Addresses

Primary practice location

11503 Jones Maltsberger Rd Ste 1106
San Antonio, TX 78216-2630

Mailing address

11503 Jones Maltsberger Rd Ste 1106
San Antonio, TX 78216-2630
Phone (210) 344-5651

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1255802278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 JONES MALTSBERGER RD STE 1106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162630",
            "telephone_number": "210-344-5651",
            "fax_number": "210-547-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 JONES MALTSBERGER RD STE 1106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162630",
            "telephone_number": "210-344-5651",
            "fax_number": "210-547-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENESTAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "ADVINCULA",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "562-403-4422",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CREDENTIALING DEPT."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.