Ivitality Health

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

IVITALITY HEALTH

Practice address

76 Calle Union Jaime Rodriguez
Local A1
Guaynabo, PR 00969

Phone

(787) 585-9910

NPI assigned

Nov 16, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Limary Santiago

Title

Diena

Phone

(787) 585-9910

Specialties & licenses 7

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Joel A. Cardona Ruiz, MD

  • General Practice Physician
  • Guaynabo, PR
  • NPI 1467953919
  NPD

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1053186452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 AVE ISLA VERDE STE 2-375",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009795746",
            "telephone_number": "787-585-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CALLE UNION JAIME RODRIGUEZ",
            "address_2": "LOCAL A1",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-585-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVITALITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "LIMARY",
        "authorized_official_title_or_position": "DIENA",
        "authorized_official_telephone_number": "787-585-9910",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316672447",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose A Isado Zardon, DR
• Nicole Michelle Isidor-Pagan
• Island Physician Management, LLC
• Ithamar Castro Pierluissi Dental LLC
• Edwim Ithier Rivera, 1265P
• Ginette Marie Izquierdo, DMD
• J.E.R.I. Cardiomed, P.S.C.
• Miguel Jaiman Alvarado, 0279P
• Juan Jaime Rodriguez, 1215P
• Julio L Jane-Machado, M.D., M.B.A.

• Multi-Specialty Clinic/Center in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.