Provider Demographics
NPI:1689491979
Name:BIOPSYCOSOCIAL WELL-BEING CORP.
Entity type:Organization
Organization Name:BIOPSYCOSOCIAL WELL-BEING CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:ALFONSO
Authorized Official - Last Name:BRENS HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-655-3777
Mailing Address - Street 1:5GG7CALLE PARQUE SAN JOSE
Mailing Address - Street 2:URB. VILLA FONTANA PARK
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983
Mailing Address - Country:US
Mailing Address - Phone:939-655-3777
Mailing Address - Fax:
Practice Address - Street 1:BIOPSYCHOSOCIAL WELL-BEING CORP.
Practice Address - Street 2:CLINICAS LAS AMERICAS, 400 AVE FD ROOSVELT STE 501
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:939-655-3777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty