Provider Demographics
NPI:1609245810
Name:BESS LLC
Entity Type:Organization
Organization Name:BESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEONEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-324-6279
Mailing Address - Street 1:METRO PARQUE 7, STREET #1
Mailing Address - Street 2:SUITE 204
Mailing Address - City:GUAYNABO, SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00968
Mailing Address - Country:US
Mailing Address - Phone:787-200-2915
Mailing Address - Fax:888-979-6478
Practice Address - Street 1:METRO PARQUE 7, STREET #1
Practice Address - Street 2:SUITE 204
Practice Address - City:GUAYNABO, SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-200-2915
Practice Address - Fax:888-979-6478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-17
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory