Restore Life LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RESTORE LIFE LLC

Practice address

Ave El Comandante
Calle 266,, 30 Country Club
Carolina, PR 00982

Phone

(787) 392-5200

NPI assigned

Nov 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo Gonzalez, DCNPI 1316339302

Title

President

Phone

(787) 392-5200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo Gonzalez, DC

  • Chiropractor
  • Carolina, PR
  • NPI 1316339302
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1750104626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 CALLE MEDITERRANEO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009823632",
            "telephone_number": "787-936-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE EL COMANDANTE",
            "address_2": "CALLE 266,, 30 COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-392-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-392-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Alberto Reimon, MD
• Rema Centro de Terapia Integral Inc.
• Luis Renta Rosa, MD
• Joely Enid Rentas-Rivera
• Jannelly Restituyo Rosario, DMD
• David Reyes Baerga, OTL
• Alma Alicia Reyes Estrada, M.D.
• Emma Reyes Morales
• Katherine Ivette Reyes Santiago
• Idalia Reyes Valencia, PT

• Chiropractor in Carolina, PR
• Providers in Carolina, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.