Organization Active NPI

Bienestar Health Clinic LLC

  • Family Medicine Physician
  • Saint Cloud, FL
National Provider Identifier
1497675466
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BIENESTAR HEALTH CLINIC LLC
Practice address
4030 Waving Hickory Blvd
Saint Cloud, FL 34772-9568
Phone
(787) 980-0466
NPI assigned
Jul 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Norberto Rios Mendez, FNP-BC
Title
Managing Member
Phone
(787) 980-0466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4030 Waving Hickory Blvd
Saint Cloud, FL 34772-9568

Mailing address

4030 Waving Hickory Blvd
Saint Cloud, FL 34772-9568

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1497675466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 WAVING HICKORY BLVD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347729568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 WAVING HICKORY BLVD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347729568",
            "telephone_number": "787-980-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENESTAR HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-19",
        "status": "A",
        "authorized_official_last_name": "RIOS MENDEZ",
        "authorized_official_first_name": "NORBERTO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "787-980-0466",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.