Organization Active NPI

Vitalia Holistics Corp

  • Health Service Clinic/Center
  • Guayama, PR
National Provider Identifier
1104628676
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
VITALIA HOLISTICS CORP
Practice address
1 Calle San Antonio N
Guayama, PR 00784-4719
Phone
(939) 229-2222
NPI assigned
Mar 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Dr. Clara Sofia Santiago Rosado, NDNPI 1356158406
Title
President and Treasurer
Phone
(939) 229-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1 Calle San Antonio N
Guayama, PR 00784-4719

Mailing address

G 38 Calle Batey Reparto Caguax
Caguas, PR 00725
Phone (939) 229-2222

Other practice location 1

G 38 Calle Batey Reparto Caguax
Caguas, PR 00725
Phone (939) 229-2222

Other practice location 2

Urb. Delgado S12 Avenida El Troche
Caguas, PR 00725
Phone (939) 229-2222

National Provider Directory

National Provider Directory

Locations

S12 Ave Troche
Caguas, PR 00725
Phone (939) 229-2222

1 Calle San Antonio N
Guayama, PR 00784
Phone (787) 866-3777

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1104628676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G 38 CALLE BATEY REPARTO CAGUAX",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "939-229-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE SAN ANTONIO N",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007844719",
            "telephone_number": "939-229-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "G 38 Calle Batey Reparto Caguax",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "939-229-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Urb. Delgado S12 Avenida El Troche",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "939-229-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITALIA HOLISTICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO ROSADO",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "SOFIA",
        "authorized_official_title_or_position": "PRESIDENT AND TREASURER",
        "authorized_official_telephone_number": "939-229-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.