Clinica Reuviva

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

CLINICA REUVIVA

Practice address

1 Ave Albolote Ste 201
Guaynabo, PR 00969-2807

Phone

(939) 945-8335

NPI assigned

Sep 22, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Isis M Vazquez-Otero

Title

Administradora

Phone

(939) 945-8335

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ileana Vazquez Otero, MD

  • Rheumatology Physician
  • Guaynabo, PR
  • NPI 1790199271
  NPD
• Suheiry Marquez Marquez, M.D.

  • Rheumatology Physician
  • San Juan, PR
  • NPI 1295183960
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1053082891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CALLE CASALS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009691004",
            "telephone_number": "939-945-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVE ALBOLOTE STE 201",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009692807",
            "telephone_number": "939-945-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA REUVIVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ-OTERO",
        "authorized_official_first_name": "ISIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRADORA",
        "authorized_official_telephone_number": "939-945-8335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERT REGISTRO DE COMERCIANTE",
            "identifier": "1270055-0014",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cirujano de Huesos LLC
• Gregorio Clemente Ayala, 260B
• Clinica Cardiovascular de Guaynabo
• Clinica Dental Dr Daniel D Diaz Jimenez
• Clinica Neurologica Ramirez Nieto
• Clinica Terapeutica Mon Quiromasaje, PSC
• Club del Desarrollo Integral, PSC
• CMR Dental Group, P.S.C.
• Co-Pharma Integrated Solutions, Inc
• Hector L Coca

• Rheumatology Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Rheumatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.