NUTREVITA CLINIC LLC – NPI #1811684210
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

NUTREVITA CLINIC LLC is an AHC clinic located in RIO GRANDE, PR. NPPES has assigned the NPI number 1811684210 to NUTREVITA CLINIC LLC on April 18, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NUTREVITA CLINIC LLC below.

NPI Profile for
NUTREVITA CLINIC LLC

NPI Number
1811684210
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NUTREVITA CLINIC LLC
Primary location
CALLE GARCIA DE LA NOCEDA B26
VILLAS DE RIO GRANDE
RIO GRANDE, PR 00745
Phone: (787) 550-2510 Fax:
Mailing address
17166 GOOSEN DR
CANOVANAS, PR 00729-4508
Phone: (787) 552-2510 Fax:
Organization Subpart
No
Authorized Official
MONICA SANTIAGO GORDIAN
DIRECTOR
Phone: (787) 550-2510
Updated
Certification Date
Apr 11, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.