Provider Demographics
NPI:1780465955
Name:B ONE PR LLC
Entity type:Organization
Organization Name:B ONE PR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GIL
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:TORRES VERGNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:939-271-5669
Mailing Address - Street 1:457 AVE FELISA RINCON
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-3375
Mailing Address - Country:US
Mailing Address - Phone:939-271-5669
Mailing Address - Fax:
Practice Address - Street 1:CARR#2, KM43.1, BO. ALGARROBO
Practice Address - Street 2:DEL MAR MEDICAL PLAZA
Practice Address - City:VEGA BJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:939-271-5669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center