Restora Wellness & Aesthetic Medicine

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RESTORA WELLNESS & AESTHETIC MEDICINE

Practice address

382 Calle Manuel Domenech
San Juan, PR 00918-3719

Phone

(787) 604-0436

NPI assigned

Feb 24, 2025

Last updated

Feb 24, 2025By 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

Dr. Kenia Carreras de la Rosa, MDNPI 1801539101

Title

President

Phone

(787) 604-0436

Specialties & licenses 1

Addresses

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.

• Kenia Carreras de la Rosa, MD, MPH

  • General Practice Physician
  • San Juan, PR
  • NPI 1801539101
  NPD Authorized official

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1184420549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360220",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 CALLE MANUEL DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183719",
            "telephone_number": "787-604-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORA WELLNESS & AESTHETIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "CARRERAS DE LA ROSA",
        "authorized_official_first_name": "KENIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-604-0436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Manuel Resto de Leon, MSW
• Ivette Resto Leon, M.D.
• Gloria Resto-Torres, R.PH.
• Angelica Maria Resto, M.D.
• Maria Carmen Resto, PSY.D.
• Restorative Health and Wellness Institute, LLC
• Veronica Restrepo Flores, MSW
• Retina Consultants of P.R.
• Reto Pharmacy Inc (Super Farmacia Villa Prades)
• Debra Lynne Reuben, PH.D.

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.