Bienestar Healthcare Clinic LLC
NPI 1003664137ActiveOrganization· General Practice· Humacao, PR
General Practice in Humacao, Puerto Rico, registered in NPPES in May 2024. The authorized official on file is Jose R. Jimenez Caban, MD, Medico. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003664137 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 13, 2024 |
| Last updated in NPPES | Jun 13, 2024 |
| Certified by provider | Jun 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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