Organization Active NPI

Bienestar Medical Center Corp

  • Family Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1902773054
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BIENESTAR MEDICAL CENTER CORP
Practice address
1109 SE Port St Lucie Blvd Unit A3
Port St Lucie, FL 34952-5332
Phone
(786) 449-8793
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Andres Munera
Title
President
Phone
(786) 449-8793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1109 SE Port St Lucie Blvd Unit A3
Port St Lucie, FL 34952-5332

Mailing address

1109 SE Port St Lucie Blvd Unit A3
Port St Lucie, FL 34952-5332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251221000017 FL Part B Supplier - Clinic/Group Practice 7810482403 Receives reassigned benefits from 1 practitioner
Practice locations: Port St Lucie, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2335087Bienestar Medical Center Corp1109 SE Port Saint Lucie Blvd, Suite A3, Port Saint Lucie, FL 34952Certificate of waiverDec 4, 2027

National Provider Directory

National Provider Directory

Locations

1109 SE Port St Lucie Blvd
Unit A3
Port St Lucie, FL 34952
Phone (786) 449-8793

1109 SE Port St Lucie Blvd
Ste A3
Port St Lucie, FL 34952
Phone (786) 449-8793

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1902773054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 SE PORT ST LUCIE BLVD UNIT A3",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 SE PORT ST LUCIE BLVD UNIT A3",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525332",
            "telephone_number": "786-449-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENESTAR MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "MUNERA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-449-8793"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.