Healthcare Provider Details

I. General information

NPI: 1316853351
Provider Name (Legal Business Name): BIENE-STAR MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB EL SENORIAL 2012 CALLE EUGENIO DORS
SAN JUAN PR
00926
US

IV. Provider business mailing address

URB EL SENORIAL 2012 CALLE EUGENIO DORS
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-487-4699
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: DR. IVAN COLON
Title or Position: PRESIDENT
Credential: MD
Phone: 787-487-4699