Provider Demographics
NPI:1942812904
Name:CENTRO DE BIENESTAR PARA LA MUJER LLC
Entity Type:Organization
Organization Name:CENTRO DE BIENESTAR PARA LA MUJER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILEN RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACOG
Authorized Official - Phone:787-242-6033
Mailing Address - Street 1:PO BOX 366492
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-6492
Mailing Address - Country:US
Mailing Address - Phone:787-754-0907
Mailing Address - Fax:
Practice Address - Street 1:CAPARRA GALLERY 107, ORTEGON AVE.
Practice Address - Street 2:SUITE 312
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-754-0907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty