Active NPI
Ararat Lipodystrophy Clinic, Inc
- Clinic/Center
- Ponce, PR
National Provider Identifier
1245309665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ARARAT LIPODYSTROPHY CLINIC, INC
- Practice address
- 8169 Calle Concordia Ste 411
Cond. San Vicente
Ponce, PR 00717-1567 - Phone
- (787) 284-5884
- Fax
- (787) 284-5874
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Juan Bautista Rivera III
- Title
- Excecutive Directos
- Phone
- (787) 284-5884
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12061 | PR | |
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
8169 Calle Concordia Ste 411
Cond. San Vicente
Ponce, PR 00717-1567
Mailing address
8169 Calle Concordia Ste 411
Cond. San Vicente
Ponce, PR 00717-1567
Phone (787) 284-5884
National Provider Directory
National Provider DirectoryLocations
8169 Calle Concordia
Ste 411
Ponce, PR 00717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1245309665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8169 CALLE CONCORDIA STE 411",
"address_2": "COND. SAN VICENTE",
"city": "PONCE",
"state": "PR",
"postal_code": "007171567",
"telephone_number": "787-284-5884",
"fax_number": "787-284-5874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8169 CALLE CONCORDIA STE 411",
"address_2": "COND. SAN VICENTE",
"city": "PONCE",
"state": "PR",
"postal_code": "007171567",
"telephone_number": "787-284-5884",
"fax_number": "787-284-5874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARARAT LIPODYSTROPHY CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "BAUTISTA",
"authorized_official_title_or_position": "EXCECUTIVE DIRECTOS",
"authorized_official_telephone_number": "787-284-5884",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PR",
"license": "12061",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.