Healthcare Provider Details

I. General information

NPI: 1043141922
Provider Name (Legal Business Name): BRIGHT HEALTH PR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 3 KM 127 ESQ DESVIO SUR SUITE 2B
PATILLAS PR
00723
US

IV. Provider business mailing address

D 19 MEDITERRANEO VILLA MAR
GUAYAMA PR
00784
US

V. Phone/Fax

Practice location:
  • Phone: 939-339-9288
  • Fax:
Mailing address:
  • Phone: 939-339-9288
  • Fax: 939-339-9288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ISMAEL SOLIS RIVERA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 939-339-9288