Vital Inc. Clinica de Salud

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

660749610 Issued in PR

Legal business name

VITAL INC. CLINICA DE SALUD

Practice address

Caguas Norte
G 6 Calle Florencia
Caguas, PR 00725

Phone

(787) 258-5681

Fax

(787) 258-5681

NPI assigned

May 9, 2012

Last updated

May 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Betania Reyes Matos, 16154

Title

M.D.

Phone

(787) 258-5681

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1063771251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAGUAS NORTE",
            "address_2": "ST. FLORENCIA G 6",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-258-5681",
            "fax_number": "787-258-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAGUAS NORTE",
            "address_2": "G 6 CALLE FLORENCIA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-258-5681",
            "fax_number": "787-258-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL INC. CLINICA DE SALUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "REYES MATOS",
        "authorized_official_first_name": "BETANIA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "787-258-5681",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "16154"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "660749610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Gabriel Villanueva IV, MD
• Fernando Villarini, M.A.
• Vinculos Conscientes LLC
• Vita Health Clinics
• Vital Care Senior Services
• Vitalidad Wellness Center CSP
• Viva Mas Viva Mejor Inc.
• Sahira Vivoni, M.D.
• Michelle M Vizcarrondo, M.D.
• VJ Medical Distributor

• Health Service Clinic/Center in Caguas, PR
• Providers in Caguas, PR by specialty
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.