CLINICA VITALIZA CORP (NPI# 1073167771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073167771 |
| Entity Type | Organization |
| Organization Name | CLINICA VITALIZA CORP |
| Practice Address |
Carolina Shopping Court 307a Avenida Roberto Clemente Carolina PR 00985 |
| Mailing Address |
Urb Villa Carolina 141-15 Calle 411 Carolina PR 00985 |
| Practice Telephone | 7876279285 |
| Mailing Telephone | 7876279285 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Authorized Official Name | JOHARYS K AYBAR CRUZ (PRESIDENTE) |
| Authorized Official Telephone | 7876279285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| CLINICA VITALIZA CORP. | Former Legal Business Name - Organization |
| Street Address |
CAROLINA SHOPPING COURT 307A AVENIDA ROBERTO CLEMENTE |
| City | CAROLINA |
| State | PR |
| Zip Code | 00985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316978141 | Jesus Rivero | Psychiatry & Neurology | Carolina Shopping Court, Suite 311 6th Floor, Carolina, PR 00986 | 2006-07-06 |
| 1376175836 | Joyleen E Hernandez | Health Educator | Carolina Shopping Court, Suite 205, Carolina, PR 00985 | 2020-02-12 |
| 1538708763 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | Carolina Shopping Court, Road #3, Km. 9.6, Carolina, PR 00979 | 2020-01-06 |
| 1316423601 | Joharys Kamila Aybar Cruz | Psychologist | Carolina Shopping Court, Suite 307a Multipisos 6to Nivel, Carolina, PR 00985 | 2018-07-19 |
| 1992911689 | Centro De Salud Mental Inc. | Psychiatry & Neurology | Carolina Shopping Court, Suite 311 6th Floor, Carolina, PR 00983 | 2007-05-16 |
| 1801002597 | R.g.r. Medical Services Corp. | Internal Medicine | Carolina Shopping Court, Suite 310 6th Floor, Carolina, PR 00983 | 2007-05-16 |
| 1114146362 | Lizbeth Marie Colon-deglans | Dentist | Carolina Shopping Court, Piso 6, Suite 307, Carolina, PR 00985 | 2007-04-25 |
| 1144384462 | Neila M Acosta | Dentist | Carolina Shopping Court, Ofic 001, Carolina, PR 00985 | 2006-12-21 |
| 1225192354 | Pmc Marketing Corp | Pharmacy | Carolina Shopping Court, Carolina, PR 00979 | 2006-12-21 |
| 1073612826 | Centro Radiodiagnostico Carolina | Radiology | Carolina Shopping Court, Suite 023a Carolina Ct & Breast Clinic, Carolina, PR 00985 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363705 | Margarita Ortiz | Pharmacist | Avenida Monserrate Esquina Main Calderon, Villa Carolina, Carolina, PR 00985 | 2019-12-13 |
| 1871154906 | Northeastern Medical Network L.L.C. | Family Medicine | 124-8 Ave Roberto Clemente, Carolina, PR 00985 | 2019-06-28 |
| 1871150904 | Ljr Medical LLC | Family Medicine | 3fs5 Ave Fragoso, Urb Villa Fontana, Carolina, PR 00985 | 2019-05-23 |
| 1720644289 | Health Laboratories Services, Inc. | Clinical Medical Laboratory | Carolina Shopping Court Local 302, Bo Martin Gonzalez, Carolina, PR 00985 | 2019-05-10 |
| 1346707171 | Edsel I Rivera | Nurse Practitioner | Century Business Park, 23 Carr 848, Carolina, PR 00985 | 2019-02-28 |
| 1699230847 | Carmen Milagros Vazquez Sr. | Social Worker | 23 Carolina Century Business Center Carr 848, Carolina, PR 00985 | 2019-02-01 |
| 1972067247 | Minorka Gizzette Figueroa-davila | Student in an Organized Health Care Education/Training Program | Calle 4 B-27 Estancias De San, Fernando, Carolina, PR 00985 | 2019-01-30 |
| 1962966119 | Vacunacion Al Dia Ninos Y Adultos | Clinic/Center | 22-2 Calle 18, Urb Villa Carolina, Carolina, PR 00985 | 2019-01-22 |
| 1992289631 | Marilyn Figueroa Chinea | Pharmacist | Carr Pr 3 Km 9.5 Ave 65 Infanteria, Carolina, PR 00985 | 2018-09-19 |
| 1336623214 | Vanessa Jimenez | Pharmacist | 65 Infanteria Ave Carr 3 Km 9.5, Reparto Industrial San Gabriel, Carolina, PR 00985 | 2018-09-18 |
| Find all providers in zip 00985 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794159 | Jannelle Feliciano | Psychologist | Avenida Fidalgo Diaz, #cl3 Via Emilia, Villa Fontana, Carolina, PR 00983 | 2020-06-10 |
| 1689220600 | Joel Jesus Rivera Serrano | Psychologist | Iturregui Plaza Shopping Center, 1134 65th Infantry Ave, Carolina, PR 00924 | 2019-08-15 |
| 1013569888 | Karla Beatriz De Jesus | Psychologist | 90 Cond Balcones De Monte Real Apt 7701, Carolina, PR 00987-2402 | 2019-07-11 |
| 1548753338 | Carol Stephanie Gonzalez | Psychologist | Isla Verde Mall, Avenida Los Gobernadores, Suite 218, Carolina, PR 00979 | 2018-06-07 |
| 1720536030 | Edelmiro Rojas | Psychologist | U5 Calle 18, Castellana Gardens, Carolina, PR 00983 | 2016-09-15 |
| 1831595883 | David E Pacheco | Psychologist | 201 Bloque Gk #20, Urb. Country Club, Carolina, PR 00982 | 2014-11-18 |
| 1871838045 | Damaris Esther Cristobal | Psychologist | 503 Calle Segovia, Urb. Vistamar, Carolina, PR 00983-1426 | 2012-11-29 |
| 1275855686 | Juan David Padilla | Psychologist | Urb. Hacienda Real 433, Carolina, Carolina, PR 00987 | 2010-02-26 |
| 1063633154 | Ghislaine Rivera | Psychologist | J 5 Monte Guilarte, Lomas De Carolina, Carolina, PR 00987 | 2007-05-02 |
| 1760771489 | William A. Jones-garrastegui | Psychologist | Gl14 Ave Campo Rico, Carolina, PR 00982-2675 | 2011-04-04 |
| Find all providers in CAROLINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.