MEDICARE: BILL'S KITCHEN, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1790637346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILL'S KITCHEN, INC

Provider Business Mailing Address
First Line	:	PO BOX 195678
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00919-5678
Country	:	US
Telephone Number	:	787-754-6525
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 AVE BARBOSA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00917-3304
Country	:	US
Telephone Number	:	787-754-6525
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SANDRA TORRES RIVERA
Credential	:
Telephone Number	:	787-717-6659

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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