Revitalize Care Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REVITALIZE CARE CENTER INC

Practice address

850 NW 42ND Ave Ste 300
Miami, FL 33126-4168

Phone

(786) 636-8084

NPI assigned

Nov 8, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Adriadna Dorta

Title

President

Phone

(786) 636-8084

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1902620735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 NW 42ND AVE STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264168",
            "telephone_number": "786-636-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 NW 42ND AVE STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264168",
            "telephone_number": "786-636-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "DORTA",
        "authorized_official_first_name": "ADRIADNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-636-8084",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego Revilla
• Lianne Revilla, APRN
• Revilbray Revilla, FNP-C
• Revised Perspective
• Revital Eyes PA
• Revitalize Clinics Inc
• Revival Med Centers, LLC
• Revival Orthopaedics Inc
• Revive Health Center, Inc.
• Revline Billing Solutions LLC

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.