Rejuvenate Medical Spas, LLC

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

16259 Issued in AZ

Legal business name

REJUVENATE MEDICAL SPAS, LLC

Practice address

7315 N Oracle Rd
Tucson, AZ 85704-6319

Phone

(520) 297-8033

NPI assigned

Jul 19, 2012

Organization subpart

No

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

Authorized official

Name

Edward Nissan

Title

Owner

Phone

(520) 297-8033

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1366797979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046319",
            "telephone_number": "520-297-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046319",
            "telephone_number": "520-297-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE MEDICAL SPAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "NISSAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-297-8033"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "AZ",
            "license": "16259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarrod Reino, FNP
• Joshua B Reischer
• Frank A Reiser, M.D.
• Ivy R Reiter, NP
• Carol A Reitz, CRNFA
• Rejuvenos
• Cynthia M Rekemeyer, FNP-C
• Relationship Renovation Counseling Center
• Reliable Medical Equipment and Supplies LLC
• Reliable Nurses, LLC

• Preventive Medicine/Occupational Environmental Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.