NPIMap

Organization Active NPI

Clinica Vitaliza Corp

  • Counseling Psychologist
  • Carolina, PR
National Provider Identifier
1073167771
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
CLINICA VITALIZA CORP
Practice address
Carolina Shopping Court
307A Avenida Roberto Clemente
Carolina, PR 00985
Phone
(787) 627-9285
NPI assigned
Jul 31, 2019
Last updated
Jul 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Authorized official

Name
Joharys K Aybar CruzNPI 1316423601
Title
Presidente
Phone
(787) 627-9285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

Carolina Shopping Court
307A Avenida Roberto Clemente
Carolina, PR 00985

Mailing address

Urb Villa Carolina
141-15 Calle 411
Carolina, PR 00985
Phone (787) 627-9285

Other names 1

  • CLINICA VITALIZA CORP. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1073167771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VILLA CAROLINA",
            "address_2": "141-15 CALLE 411",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-627-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAROLINA SHOPPING COURT",
            "address_2": "307A AVENIDA ROBERTO CLEMENTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-627-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA VITALIZA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "AYBAR CRUZ",
        "authorized_official_first_name": "JOHARYS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-627-9285"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA VITALIZA CORP.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.