Rheumatology Wellness Center PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

RHEUMATOLOGY WELLNESS CENTER PLLC

Practice address

3149 N Ponce de Leon Blvd Ste 1
St Augustine, FL 32084-8626

Phone

(904) 594-2424

Fax

(904) 594-2425

NPI assigned

Jun 14, 2024

Last updated

Jul 3, 2024By 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

David Jimenez Cifuentes

Title

Manager

Phone

(954) 790-9448

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Lilian Astrid Otalora Rojas, MD

  • Rheumatology Physician
  • Jacksonville, FL
  • NPI 1093218802
  Medicare reassignment NPD

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1518700889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 N PONCE DE LEON BLVD STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320848626",
            "telephone_number": "904-594-2424",
            "fax_number": "904-594-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 N PONCE DE LEON BLVD STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320848626",
            "telephone_number": "904-594-2424",
            "fax_number": "904-594-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ CIFUENTES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-790-9448"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Reyes, RN
• Regino Irwin Bariso Reyes, PT
• Jennifer Reynolds, M.S., C.C.C.
• Samantha D Reynolds, APRN
• Rez Inc
• Trayce Rhoads, APRN, PMHNP-BC
• Anne Marie Rhoden, LMT
• Maureen Riccitello, ARNP
• Joseph C Rice, P.A.-C.
• Roxanne Rich

• Rheumatology Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.