Organization Active NPI

Ararat Lipodystrophy Clinic, Inc

  • Clinic/Center
  • Ponce, PR
National Provider Identifier
1245309665
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.