Vitalis Wellness Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VITALIS WELLNESS CENTER, LLC

Practice address

330 W Oak St
Kissimmee, FL 34741-4443

Phone

(888) 348-7363

Fax

(888) 348-7363

NPI assigned

Dec 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jose Rivas, MDNPI 1952588188

Title

Medical Director

Phone

(888) 348-7363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Jose Emiliano Rivas, M.D.

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1952588188
  Medicare reassignment NPD Authorized official
• Emilio Santos, MD

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1558314294
  Medicare reassignment NPD

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1922876580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414443",
            "telephone_number": "888-348-7363",
            "fax_number": "888-348-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414443",
            "telephone_number": "888-348-7363",
            "fax_number": "888-348-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "888-348-7363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Virola
• Kimberly Viruet, ARNP
• Visionworks, Inc.
• Visionworks, Inc.
• Vita Rehab Medical Center LLC
• Viva Wellness & Injury, LLC
• Ileana Vizcaino
• Zailys Vizcarrondo, RN
• Lucy Vlasaty, MA, BA, MCP
• Jonathan Adam Vleko, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.