Healthcare Provider Details

I. General information

NPI: 1942812904
Provider Name (Legal Business Name): CENTRO DE BIENESTAR PARA LA MUJER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CAPARRA GALLERY 107, ORTEGON AVE. SUITE 312
GUAYNABO PR
00969
US

IV. Provider business mailing address

PO BOX 366492
SAN JUAN PR
00936-6492
US

V. Phone/Fax

Practice location:
  • Phone: 787-754-0907
  • Fax:
Mailing address:
  • Phone: 787-754-0907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAMELA SILEN RIVERA
Title or Position: CEO
Credential: MD FACOG
Phone: 787-242-6033